NPI 1356525091

Roberto E Medina, CCP

Practitioner Perfusionist Las Cruces, NM

Practice location

Address: 4604 Sandalwood Dr, Las Cruces, NM 88011-9627
Phone: (505) 522-2418

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence PF0495 (TX)

Other Perfusionist providers in New Mexico →

Registry record

NPI: 1356525091
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2007
Record last updated: 18 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.