Provider Demographics
NPI:1841365731
Name:PRESS, RONALD (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:PRESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:435 ST MICHAELS DR
Mailing Address - Street 2:STE B104
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7671
Mailing Address - Country:US
Mailing Address - Phone:505-992-3334
Mailing Address - Fax:505-992-1998
Practice Address - Street 1:435 ST MICHAELS DR
Practice Address - Street 2:STE B104
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7671
Practice Address - Country:US
Practice Address - Phone:505-992-3334
Practice Address - Fax:505-992-1998
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2008-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM87322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM73734373Medicaid
NM73734373Medicaid