Medina, Roberto E

Medina, Roberto E is an individual health care provider with primary practice located at 4604 Sandalwood Dr , Las Cruces NM 88011-9627. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Medina, Roberto E can be contacted via phone (505) 522-2418.

Contact Information

Primary practice address
4604 Sandalwood Dr Las Cruces NM 88011-9627
Phone: (505) 522-2418
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X PF0495 Texas

Profile Details

NPI number 1356525091
LBN Legal business name Medina, Roberto E
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 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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