Individual provider · Type 1 NPI

Carlos Jacob Bonnafoux, MD MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1356061907 Active

Practice location

Unmh Hospital: 2211 Lomas Blvd NE
Albuquerque, NM 87106

Mailing address

Mscob 4700 1 University Of New Mexico
Albuquerque, NM 87131-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356061907

Carlos Jacob Bonnafoux, MD MEDICAL STUDENT's National Provider Identifier is 1356061907, issued on Sep 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 1, 2022.