| Abq Enterprises Inc. | |
|
902 1/2 Coal Ave Sw Albuquerque NM 87102-5912 | |
| (505) 331-0295 | |
| Not Available |
| Full Name | Abq Enterprises Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 902 1/2 Coal Ave Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jason B Deluisa (OWNER) |
| Authorized Official Contact | 5053310295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abq Enterprises Inc. 902 1/2 Coal Ave Sw Albuquerque NM 87102-5912 Ph: (505) 331-0295 | Abq Enterprises Inc. 902 1/2 Coal Ave Sw Albuquerque NM 87102-5912 Ph: (505) 331-0295 |
| NPI Number | 1881837912 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881837912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP-01518 (New Mexico) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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