SearchNew Mexico2255A2300X

Jose Rivas

NPI 1083167373 · on the registry since 2016

Practice

Address
60 Range Rd
Edgewood, NM 87015
Phone
(505) 620-6676

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico