Healthcare Provider Details

I. General information

NPI: 1972981595
Provider Name (Legal Business Name): LOVATO AND ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 05/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 BOWE LN SW
ALBUQUERQUE NM
87105-3772
US

IV. Provider business mailing address

4425 RIO TRUMPEROS CT NW
ALBUQUERQUE NM
87120-5333
US

V. Phone/Fax

Practice location:
  • Phone: 505-280-7370
  • Fax: 505-358-3787
Mailing address:
  • Phone: 505-358-3787
  • Fax: 505-358-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number98320
License Number StateNM

VIII. Authorized Official

Name: JOSEPH M LOVATO
Title or Position: OWNER
Credential: .MD
Phone: 505-459-9102