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Dr. Melquiades Olivares JR., MD,
General Practice Physician in Las Vegas, New Mexico
NPI 1629084272

Melquiades Olivares JR. is a General Practice Physician based in Las Vegas, NM. Melquiades Olivares JR. practices in Las Vegas, NM and has the professional credentials of MD,. The NPI Number for Melquiades Olivares JR. is 1629084272 and holds a License No. 90265 (New Mexico).

The current practice location address for Melquiades Olivares JR. is 260 Mills Ave, Las Vegas, NM and can be reached out via phone at 505-425-6731 and via fax at 505-454-9193.

Location: 260 Mills Ave, Las Vegas, NM, 87701-4125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629084272
Provider Name
Melquiades Olivares JR.
Credential
MD,
Provider Entity Type
Individual
Gender
Male
Address
260 Mills Ave, Las Vegas, NM, 87701-4125
Phone Number
505-425-6731
Fax Number
505-454-9193
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00042138 05 NM
institution
Provider Business Practice Location Address Details
Address
260 Mills Ave
City
Las Vegas
State
New Mexico
Zip
87701-4125
Phone Number
505-425-6731
Fax Number
505-454-9193
person
Provider Business Mailing Address Details
Address
260 Mills Ave
City
Las Vegas
State
New Mexico
Zip
87701-4125
Phone Number
505-425-6731
Fax Number
505-454-9193
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
90265 (New Mexico)
Definition
Definition to come...
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