Healthcare Provider Details

I. General information

NPI: 1679749097
Provider Name (Legal Business Name): LINA EDELMIRA AGUIRRE ECHEVERRY M.D. M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINA EDELMIRA AGUIRRE MD.M.S.

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO DR SE
ALBUQUERQUE NM
87108-5153
US

IV. Provider business mailing address

215 SPRING CREEK PL NE
ALBUQUERQUE NM
87122-2015
US

V. Phone/Fax

Practice location:
  • Phone: 505-265-1711
  • Fax: 505-256-2803
Mailing address:
  • Phone: 505-301-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberNM 2009-0716
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: