Individual ProviderMichael A CoquiaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5150 Journal Center Blvd NE, Albuquerque, NM 87109(505) 262-3212(505) 232-1920PECOS EnrollmentBased on the most recent information from CMS, provider Michael A Coquia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1891720082Provider TypeIndividualFull NameCoquia, Michael ACredentialMDGenderMaleSole ProprietorNoEnumeration Date7/12/2006Last Updated10/11/2011Contact InformationPractice LocationPractice Address5150 Journal Center Blvd NE, Albuquerque, NM 87109Phone(505) 262-3212Fax(505) 262-3381Mailing LocationMailing AddressPO Box 27829, Albuquerque, NM 87125Phone(505) 232-1920Fax(505) 727-9276Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense20050856New MexicoProvider IdentifiersIDDescriptionIssuerID51209080DescriptionMedicaidIssuerUnlistedNew Mexico