Archuleta, Manuel C.
Archuleta, Manuel C. is an individual health care provider with primary practice located at Pmg Isleta 3436 Isleta Blvd Sw, Albuquerque NM 87105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Archuleta, Manuel C. can be contacted via phone (505) 462-7777.Contact Information
Primary practice address
Pmg Isleta 3436 Isleta Blvd Sw
Albuquerque NM 87105
Phone: (505) 462-7777
Fax: (505) 462-7880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 74-117 | New Mexico |
Profile Details
| NPI number | 1457460776 |
|---|---|
| LBN Legal business name | Archuleta, Manuel C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Oct 11th, 2011 - about 15 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 | 1457460776 | NPPES |
| New Mexico | MEDICAID | 1750 |
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