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NPI Code Detail

MEDICARE: MANUEL GONZALEZ-CUERVO M.D.

MEDICARE: MANUEL GONZALEZ-CUERVO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician99-46NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447361951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL GONZALEZ-CUERVO M.D.
Provider Business Mailing Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2100
Fax Number :
Provider Business Practice Location Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 06/17/2010

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Directions to “ MANUEL GONZALEZ-CUERVO M.D.” Practice Location

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