Dr Melquiades Olivares Jr, MD, | |
260 Mills Ave, Las Vegas, NM 87701-4125 | |
(505) 425-6731 | |
(505) 454-9193 |
Full Name | Dr Melquiades Olivares Jr |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 260 Mills Ave, Las Vegas, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629084272 | NPI | - | NPPES |
00042138 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 90265 (New Mexico) | Primary |
Entity Name | State Of New Mexico |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
Mailing Address | Practice Location Address |
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Dr Melquiades Olivares Jr, MD, 260 Mills Ave, Las Vegas, NM 87701-4125 Ph: (505) 425-6731 | Dr Melquiades Olivares Jr, MD, 260 Mills Ave, Las Vegas, NM 87701-4125 Ph: (505) 425-6731 |
Mary Ray Cate, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1235 8th St, Las Vegas, NM 87701 Phone: 505-425-6788 Fax: 505-425-5408 | |
Dr. Douglas Gene Hughes, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 514 University Ave, Las Vegas, NM 87701 Phone: 505-425-6738 | |
Pablo Vigil, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 |