| Carmen Brown Llc | |
|
10409 Manzanillo Ave Ne Albuquerque NM 87111-1724 | |
| (505) 304-4248 | |
| Not Available |
| Full Name | Carmen Brown Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10409 Manzanillo Ave Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rodica Carmen Brown (OWNER) |
| Authorized Official Contact | 5053044248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Brown Llc 10409 Manzanillo Ave Ne Albuquerque NM 87111-1724 Ph: (505) 304-4248 | Carmen Brown Llc 10409 Manzanillo Ave Ne Albuquerque NM 87111-1724 Ph: (505) 304-4248 |
| NPI Number | 1083090419 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Medicare PECOS PAC ID | 7517275183 |
|---|---|
| Medicare Enrollment ID | O20160603001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083090419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA2002-0030 (New Mexico) | Primary |
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