Provider Demographics
NPI:1497744288
Name:CADENA, ROLANDO C (DPM)
Entity Type:Individual
Prefix:MR
First Name:ROLANDO
Middle Name:C
Last Name:CADENA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2930 HILLRISE DR
Mailing Address - Street 2:STE4
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4776
Mailing Address - Country:US
Mailing Address - Phone:575-522-3330
Mailing Address - Fax:575-522-7853
Practice Address - Street 1:2930 HILLRISE DR
Practice Address - Street 2:STE4
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4776
Practice Address - Country:US
Practice Address - Phone:575-522-3330
Practice Address - Fax:575-522-7853
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM234213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMF6165Medicaid
NMNM005397OtherBLUE CROSS BLUE SHIELD
NM1027610001Medicare NSC
NMF6165Medicaid