Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ismael Pereira, PA-C

Individual provider Medical Physician Assistant · NPI 1568913911

Ismael Pereira, PA-C is a Medical Physician Assistant in Albuquerque, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4600 Montgomery Blvd NE # B
Albuquerque, NM 87109
Phone: (505) 924-5840
Fax: (505) 924-5841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 914 Pinehurst Rd Se, Rio Rancho, NM 87124-2219 — (505) 924-5840

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence PA2016-0096 (NM)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA20160096 (NM)

Record details

NPI number1568913911
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022

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