HomeNPI Verification

NPI Verification

National Provider Identifier: 1861887192

Kresta S Antillon

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

145 DON PASQUAL RD NW

LOS LUNAS, NM 870318841

Phone: 505-865-4618

NPI Enumeration Date

April 2, 2015

NPI Number

1861887192

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry