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M Eileen Madrid, MD
Specialist in Las Vegas, New Mexico
NPI 1215997358

M Eileen Madrid is a Specialist based in Las Vegas, NM. M Eileen Madrid practices in Las Vegas, NM and has the professional credentials of MD. The NPI Number for M Eileen Madrid is 1215997358 and holds a License No. 81-79 (New Mexico).

The current practice location address for M Eileen Madrid is 419 Manzanares St, Las Vegas, NM and can be reached out via phone at 505-425-6773 and via fax at 505-426-9238.

Location: 419 Manzanares St, Las Vegas, NM, 87701-3882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215997358
Provider Name
M Eileen Madrid
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
419 Manzanares St, Las Vegas, NM, 87701-3882
Phone Number
505-425-6773
Fax Number
505-426-9238
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00007088 05 NM
institution
Provider Business Practice Location Address Details
Address
419 Manzanares St
City
Las Vegas
State
New Mexico
Zip
87701-3882
Phone Number
505-425-6773
Fax Number
505-426-9238
person
Provider Business Mailing Address Details
Address
419 Manzanares St
City
Las Vegas
State
New Mexico
Zip
87701-3882
Phone Number
505-425-6773
Fax Number
505-426-9238
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
81-79 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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