NPI 1568913911

Ismael Pereira, PAC

Practitioner Phlebology Physician Albuquerque, NM

Practice location

Address: 4600 Montgomery Blvd NE # B, Albuquerque, NM 87109
Phone: (505) 924-5840
Fax: (505) 924-5841
Mailing address: PO Box 91224, Albuquerque, NM 87199-1224

Registered specialties (2)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence PA2016-0096 (NM)

Other Phlebology providers in New Mexico →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA20160096 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1568913911
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2016
Record last updated: 28 Jul 2022

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.