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Contact Information

RODRIGO PEREZ RESENDIZ, PA-C
145 DON PASQUAL RD NW
LOS LUNAS, NM87031-8841
 Phone: 505-865-4618
 Fax: 505-224-8727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RODRIGO PEREZ RESENDIZ · (Male)

NPI Number 1194367862
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/14/2019
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1194827535
  • NM License # PA2019-0088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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