National Provider Identifier Database

NEW MEXICO HEART INSTITUTE LLC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

NEW MEXICO HEART INSTITUTE, LLC
502 ELM ST. NE
ALBUQUERQUE, NM87102
Phone: 505-841-1000
Fax: 505-843-2956
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for NEW MEXICO HEART INSTITUTE, LLC

NPI Number 1346242575
Legal business name
LBN
NEW MEXICO HEART INSTITUTE, LLC
Authorized official STEPHEN PETROVICH - (EVP, GENERAL COUNSEL)
Entity Organization
Organization subpart Yes
Enumeration date 06/01/2005
Last updated 07/24/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: FA0003020
  • NM Medicaid: H5743
  • NM Other: FA0003020 PT0002833 NMHI BUSINESS REGISTRATIO

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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