Provider Demographics
NPI:1881790442
Name:ZEPEDA, MARIA CRISTINA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CRISTINA
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1206 HERMOSA DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-4317
Mailing Address - Country:US
Mailing Address - Phone:505-265-1002
Mailing Address - Fax:505-265-1002
Practice Address - Street 1:4015 CARLISLE BLVD NE
Practice Address - Street 2:SUITE D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-4529
Practice Address - Country:US
Practice Address - Phone:505-898-2468
Practice Address - Fax:505-898-1518
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM77-3002083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME10743Medicare UPIN