IndividualActive
Ana Alicia Leonso Bravo, MD
NPI 1245790385 · Internal Medicine Physician · Roswell, NM
Provider details
- NPI number
- 1245790385
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD2024-0962 (NM)
Practice location
601 W Country Club Rd Ste 102
Roswell, NM 88201-5227
Phone: (505) 272-1312
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2019-03-24
- Last updated
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.