| Felix C. Madrid, D.d.s.,p.a. | |
|
2345 Southern Blvd Se Suite B-1 Rio Rancho NM 87124-3760 | |
| (505) 892-0111 | |
| (505) 994-1004 |
| Full Name | Felix C. Madrid, D.d.s.,p.a. |
|---|---|
| Speciality | Dentist |
| Location | 2345 Southern Blvd Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Felix C. Madrid (PRESIDENT) |
| Authorized Official Contact | 5058920111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Felix C. Madrid, D.d.s.,p.a. 2345 Southern Blvd Se Suite B-1 Rio Rancho NM 87124-3760 Ph: (505) 892-0111 | Felix C. Madrid, D.d.s.,p.a. 2345 Southern Blvd Se Suite B-1 Rio Rancho NM 87124-3760 Ph: (505) 892-0111 |
| NPI Number | 1164650388 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164650388 | NPI | - | NPPES |
| 3272/109077 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD1864 (New Mexico) | Primary |
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