| Hermosa Plastic Surgery | |
|
8004 Constitution Pl Ne Albuquerque NM 87110-7628 | |
| (505) 454-1907 | |
| Not Available |
| Full Name | Hermosa Plastic Surgery |
|---|---|
| Speciality | Clinic/center |
| Location | 8004 Constitution Pl Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Miguel Gallegos (PRESIDENT) |
| Authorized Official Contact | 5054541907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermosa Plastic Surgery 8004 Constitution Pl Ne Albuquerque NM 87110-7628 Ph: (505) 454-1907 | Hermosa Plastic Surgery 8004 Constitution Pl Ne Albuquerque NM 87110-7628 Ph: (505) 454-1907 |
| NPI Number | 1518387927 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518387927 | NPI | - | NPPES |
| Z5721 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 93262 (New Mexico) | Primary |
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