Most Relevant Information
Provider Data
| NPI Number: | 1003506064 |
| Provider Name: | JORGE LUIS AZOCAR VILLALOBOS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2023 |
| Last Updated: | 08/06/2023 |
Provider Practice Location
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE
NM
871310001
Practice Location Phone/Fax
| Phone: | 5052724661 |
| Fax: | 5052720475 |
Provider Mailing Location
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE
NM
871310001
Provider Mailing Phone/Fax
| Phone: | 5052724661 |
| Fax: | 5052720475 |