Madrid, Juan Abelino

Madrid, Juan Abelino is an individual health care provider with primary practice located at 105 W Manana Blvd , Clovis NM 88101. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Madrid, Juan Abelino can be contacted via phone (505) 762-1881.

Contact Information

Primary practice address
105 W Manana Blvd Clovis NM 88101
Phone: (505) 762-1881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD1529 New Mexico

Profile Details

NPI number 1831241488
LBN Legal business name Madrid, Juan Abelino
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831241488 NPPES
New Mexico MEDICAID 5566

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