Vera, Javier Antonio

Vera, Javier Antonio is an individual health care provider with primary practice located at 4253 Montgomery Blvd Ne Ste 220 , Albuquerque NM 87109-1130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Vera, Javier Antonio can be contacted via phone (505) 881-5307.

Contact Information

Primary practice address
4253 Montgomery Blvd Ne Ste 220 Albuquerque NM 87109-1130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD2004-122 New Mexico
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MD2004-0122 New Mexico

Profile Details

NPI number 1093789265
LBN Legal business name Vera, Javier Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 1st, 2020 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093789265 NPPES
New Mexico MEDICAID 47470500

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