Search › New Mexico › 202K00000X
Ismael Pereira, PA-C
NPI 1568913911 · on the registry since 2016
Practice
- Address
- 4600 Montgomery Blvd Ne # B
Albuquerque, NM 87109 - Phone
- (505) 924-5840
- Fax
- (505) 924-5841
- Organisation at this address
- Innova Vein And Vascular Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 914 Pinehurst Rd Se, Rio Rancho, NM
Registry record
- Primary taxonomy
- 202K00000X
202K00000X
- Also registered as
- 363AM0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-28
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