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Albuquerque Dermatology Associates, PA

Dermatology Physician in Albuquerque, NM · enumerated 2006 · authorized official Estelle Miller, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821045329

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Registry record

Entity type Organization (Type 2)
Legal business name Albuquerque Dermatology Associates, PA
Practice address 4610 Jefferson Ln Ne, Albuquerque, NM, 87109
Fax (505) 872-4709
Enumeration date May 28, 2006
Last updated in NPPES Mar 6, 2008

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 2002-0450 (NM) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License R46867NM (NM) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License MD2005-0405 (NM) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 2000-166 (NM) Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 2000-166 (NM) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License 2000-166 (NM) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License 2002-0450 (NM) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License R46867NM (NM) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License MD2005-0405 (NM) Secondary

Authorized official

Name Estelle Miller
Title Practice Manager

Other identifiers

Identifier Type State Issuer
76659755 Medicaid NM -
F1418 Medicaid NM -
44792 Medicaid NM -
47235306 Medicaid NM -
93885865 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-06. Verify at npiregistry.cms.hhs.gov.
Where is Albuquerque Dermatology Associates, PA located?
The practice location on file with NPPES is in Albuquerque, NM.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-06.