Provider Demographics
NPI:1700062189
Name:RONALD PRESS MD LLC
Entity Type:Organization
Organization Name:RONALD PRESS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:IRVING
Authorized Official - Last Name:PRESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-992-3334
Mailing Address - Street 1:421 SAINT MICHAELS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7601
Mailing Address - Country:US
Mailing Address - Phone:505-992-3334
Mailing Address - Fax:505-992-1998
Practice Address - Street 1:421 ST. MICHAELS DRIVE
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7601
Practice Address - Country:US
Practice Address - Phone:505-992-3334
Practice Address - Fax:505-992-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM87322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM73734373Medicaid
NMD35893Medicare UPIN
NM343416100Medicare PIN