Rodriguez-Carrillo, Jesus Ivan

Rodriguez-Carrillo, Jesus Ivan is an sole proprietor health care provider with primary practice located at 8300 Constitution Ave Ne , Albuquerque NM 87110-7613. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency. Nursing Service Providers / Emergency is his primary health care specialty. Rodriguez-Carrillo, Jesus Ivan can be contacted via phone (575) 291-2122.

Contact Information

Primary practice address
8300 Constitution Ave Ne Albuquerque NM 87110-7613
Phone: (575) 291-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 941836 New York
Nursing Service Providers / Emergency 163WE0003X 81732 New Mexico

Profile Details

NPI number 1720828429
LBN Legal business name Rodriguez-Carrillo, Jesus Ivan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2024
Last updated May 31st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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