Ronald J Escudero Md Pc

LBN: Ronald J Escudero Md Pc
Ronald J Escudero Md Pc is an health care organization with primary practice located at 4100 Wolcott Ave Ne Ste A , Albuquerque NM 87109-4572. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ronald J Escudero Md Pc can be contacted via phone (505) 855-5500, or through Escudero, Ronald J via phone (505) 855-5500.

Contact Information

Primary practice address
4100 Wolcott Ave Ne Ste A Albuquerque NM 87109-4572
Phone: (505) 855-5500
Fax: (505) 855-5501
Website:
Map and Directions
Authorized official contact:
Name: Escudero, Ronald J Doctor of Medicine (MD)
Phone: (505) 855-5500

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 91-196 New Mexico

Profile Details

NPI number 1235263898
LBN Legal business name Ronald J Escudero Md Pc
DBA Doing business as
Authorized official Escudero, Ronald J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235263898 NPPES
New Mexico MEDICAID 42085

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