Vasquez, Karissa Ryann

Vasquez, Karissa Ryann is an individual health care provider with primary practice located at 200 Emilio Lopez Rd , Los Lunas NM 87031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vasquez, Karissa Ryann can be contacted via phone (505) 866-2700.

Contact Information

Primary practice address
200 Emilio Lopez Rd Los Lunas NM 87031
Fax: (505) 866-2701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL52602 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2021-0956 New Mexico

Profile Details

NPI number 1659869824
LBN Legal business name Vasquez, Karissa Ryann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated May 16th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1659869824 NPPES
New Mexico MEDICAID 59220759

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