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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEVERO BACA III

Active Sole Proprietor

SEVERO BACA III is a Podiatric Surgery healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1295359750 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · ALBUQUERQUE, NM

Registration Details

NPI Number
1295359750
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2020 (6.2177753221075 yrs)
Last Updated
Jun 1, 2020
Sole Proprietor
Yes

Practice Information

Address
5600 GIBSON BLVD SE APT 144
ALBUQUERQUE, NM, 871085391
Browse NM providers · Browse ZIP 87108
Phone
5054048133
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in ALBUQUERQUE, NM

Name Credential NPI
ERMA N MARTINEZ 1407402167
HERMELINDA PONLA RODGERS 1760039887
LYNN CHERYL GRISHAM 1609423656
MRS. CINDY D MONTOYA 1548818222
MS. JANNETTE ALICIA MONDRAGON 1275181166
THERESA MARTINEZ 1487203154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.