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
Phone: (505) 881-5307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093789265 | NPPES |
| New Mexico | MEDICAID | 47470500 |
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