JORGE LUIS BRENA

ALBUQUERQUE, NM
NPI1992520357
Professional NameJORGE LUIS BRENA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  11111)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: NM  98776)
363LG0600X Nurse Practitioner, Gerontology
(Licence: NM  87643)
Enumeration Date2024-11-20
Last Update Date2024-11-20
Business Address
JORGE LUIS BRENA NP
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-2111
Mailing Address
JORGE LUIS BRENA NP
5122 ENSENADA PL NW
ALBUQUERQUE, NM 87107-3820
Phone number: 505-670-6742