Provider Demographics
NPI:1790960383
Name:BURCIAGA-MOLINAR, SAUL D (MD)
Entity Type:Individual
Prefix:
First Name:SAUL
Middle Name:D
Last Name:BURCIAGA-MOLINAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1745 AVENIDA DE MERCADO
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-4057
Mailing Address - Country:US
Mailing Address - Phone:575-652-3563
Mailing Address - Fax:915-232-9900
Practice Address - Street 1:1745 AVENIDA DE MERCADO
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-4057
Practice Address - Country:US
Practice Address - Phone:575-652-3563
Practice Address - Fax:575-993-5015
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2010-0225207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine