Healthcare Provider Details

I. General information

NPI: 1588077531
Provider Name (Legal Business Name): ONELYS ARIANE UZCATEGUI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2014
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 HOLLY AVE NE
ALBUQUERQUE NM
87113-2474
US

IV. Provider business mailing address

6401 HOLLY AVE NE
ALBUQUERQUE NM
87113-2474
US

V. Phone/Fax

Practice location:
  • Phone: 505-847-7000
  • Fax:
Mailing address:
  • Phone: 505-847-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD20250243
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: