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Contact Information

NEW MEXICO PLASTIC
1020 TIJERAS AVE NE STE 16
ALBUQUERQUE, NM87106-4749
 Phone: 505-842-6868
 Fax: 505-842-9325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEW MEXICO PLASTIC

NPI # 1518045657
LBN Legal business name NEW MEXICO PLASTIC
Authorized official CHESTER SAKURA - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM License # 77-251
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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