Individual provider · Type 1 NPI

Alisa Clark Illescas, MD

Internal Medicine Physician · Albuquerque, NM

NPI number 1972131159 Active

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Call (505) 724-6124 Map

Mailing address

PO Box 26666, Provider Enrollment
Albuquerque, NM 87125-6666

Other practice locations

  • 4468 Avenida Del Sol NE, Albuquerque, NM 87110-6179 · (505) 228-9736
  • Msc Internal Medicine 1 University Of New Mexico, Albuquerque, NM 87131-0001 · (505) 272-4661

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XMD2023-0490 (NM)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1972131159

Alisa Clark Illescas, MD's National Provider Identifier is 1972131159, issued on Apr 1, 2020. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 31, 2024.