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Name *
Father's Last Name *
Mother's Last Name
Gender *
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MALE
FEMALE
NON BINARY
Age *
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21-34
35-44
45-54
55-64
65 or more
Country *
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MEXICO
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, REPUBLIC OF (BRAZZAVILLE)
COOK ISLANDS
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DEMOCRATIC REPUBLIC OF THE CONGO(KINSHASA)
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
IVORY COAST (CÔTE D'IVOIRE)
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (NORTH)
KOREA (SOUTH)
KUWAIT
KYRGYZSTAN
LAO, PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MICRONESIA
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR, BURMA
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN NATIONAL AUTHORITY
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN ISLAND
POLAND
PORTUGAL
PUERTO RICO
QATAR
ROMANIA
RUSSIA
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRÍNCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SPAIN
SRI LANKA
ST. PIERRE AND MIQUELON
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA, SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM (GREAT BRITAIN)
UNITED STATES
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE (HOLY SEE)
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA ISLANDS
YEMEN
ZAMBIA
ZIMBABWE
Zip code *
State *
Select an option
ALABAMA
ALASKA
AMERICAN SAMOA (SEE ALSO SEPARATE ENTRY UNDER AS)
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM (SEE ALSO SEPARATE ENTRY UNDER GU)
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
NORTHERN MARIANA ISLANDS (SEE ALSO SEPARATE ENTRY UNDER MP)
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UNITED STATES MINOR OUTLYING ISLANDS (SEE ALSO SEPARATE ENTRY UNDER UM)
UTAH
VERMONT
VIRGINIA
VIRGIN ISLANDS, U.S. (SEE ALSO SEPARATE ENTRY UNDER VI)
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
City *
Country code
Select an option
+52 (Mexico)
+93 (Afghanistan)
+355 (Albania)
+213 (Algeria)
+1 (American Samoa)
+376 (Andorra)
+244 (Angola)
+1 (Anguilla)
+1 (Antigua And Barbuda)
+54 (Argentina)
+374 (Armenia)
+297 (Aruba)
+61 (Australia)
+43 (Austria)
+994 (Azerbaijan)
+1 (Bahamas)
+973 (Bahrain)
+880 (Bangladesh)
+1 (Barbados)
+375 (Belarus)
+32 (Belgium)
+501 (Belize)
+229 (Benin)
+1 (Bermuda)
+975 (Bhutan)
+591 (Bolivia)
+387 (Bosnia And Herzegovina)
+267 (Botswana)
+55 (Brazil)
+673 (Brunei Darussalam)
+359 (Bulgaria)
+226 (Burkina Faso)
+257 (Burundi)
+855 (Cambodia)
+237 (Cameroon)
+1 (Canada)
+238 (Cape Verde)
+1 (Cayman Islands)
+236 (Central African Republic)
+235 (Chad)
+56 (Chile)
+86 (China)
+618 (Christmas Island)
+61 (Cocos (Keeling) Islands)
+57 (Colombia)
+269 (Comoros)
+242 (Congo, Republic Of (Brazzaville))
+682 (Cook Islands)
+506 (Costa Rica)
+385 (Croatia)
+53 (Cuba)
+357 (Cyprus)
+420 (Czech Republic)
+242 (Democratic Republic Of The Congo(Kinshasa))
+45 (Denmark)
+253 (Djibouti)
+1 (Dominica)
+1 (Dominican Republic)
+593 (Ecuador)
+20 (Egypt)
+503 (El Salvador)
+240 (Equatorial Guinea)
+291 (Eritrea)
+372 (Estonia)
+251 (Ethiopia)
+500 (Falkland Islands)
+298 (Faroe Islands)
+679 (Fiji)
+358 (Finland)
+33 (France)
+594 (French Guiana)
+689 (French Polynesia)
+241 (Gabon)
+220 (Gambia)
+995 (Georgia)
+49 (Germany)
+233 (Ghana)
+350 (Gibraltar)
+30 (Greece)
+299 (Greenland)
+1 (Grenada)
+590 (Guadeloupe)
+1 (Guam)
+502 (Guatemala)
+224 (Guinea)
+245 (Guinea-Bissau)
+592 (Guyana)
+509 (Haiti)
+39 (Holy See)
+504 (Honduras)
+852 (Hong Kong)
+36 (Hungary)
+354 (Iceland)
+91 (India)
+62 (Indonesia)
+98 (Iran (Islamic Republic Of))
+964 (Iraq)
+353 (Ireland)
+44 (Isle Of Man)
+972 (Israel)
+39 (Italy)
+225 (Ivory Coast (Côte D'ivoire))
+1 (Jamaica)
+81 (Japan)
+962 (Jordan)
+7 (Kazakhstan)
+254 (Kenya)
+686 (Kiribati)
+850 (Korea (North))
+82 (Korea (South))
+965 (Kuwait)
+996 (Kyrgyzstan)
+856 (Lao, People's Democratic Republic)
+371 (Latvia)
+961 (Lebanon)
+266 (Lesotho)
+231 (Liberia)
+218 (Libya)
+423 (Liechtenstein)
+370 (Lithuania)
+352 (Luxembourg)
+853 (Macao)
+389 (Macedonia)
+261 (Madagascar)
+265 (Malawi)
+60 (Malaysia)
+960 (Maldives)
+223 (Mali)
+356 (Malta)
+692 (Marshall Islands)
+596 (Martinique)
+222 (Mauritania)
+230 (Mauritius)
+269 (Mayotte)
+691 (Micronesia)
+373 (Moldova, Republic Of)
+377 (Monaco)
+976 (Mongolia)
+382 (Montenegro)
+1 (Montserrat)
+212 (Morocco)
+258 (Mozambique)
+95 (Myanmar, Burma)
+264 (Namibia)
+674 (Nauru)
+977 (Nepal)
+31 (Netherlands)
+599 (Netherlands Antilles)
+687 (New Caledonia)
+64 (New Zealand)
+505 (Nicaragua)
+227 (Niger)
+234 (Nigeria)
+683 (Niue)
+672 (Norfolk Island)
+1 (Northern Mariana Islands)
+47 (Norway)
+968 (Oman)
+92 (Pakistan)
+680 (Palau)
+970 (Palestinian National Authority)
+507 (Panama)
+675 (Papua New Guinea)
+595 (Paraguay)
+51 (Peru)
+63 (Philippines)
+64 (Pitcairn Island)
+48 (Poland)
+351 (Portugal)
+1 (Puerto Rico)
+974 (Qatar)
+40 (Romania)
+7 (Russia)
+250 (Rwanda)
+290 (Saint Helena)
+1 (Saint Kitts And Nevis)
+1 (Saint Lucia)
+1 (Saint Vincent And The Grenadines)
+685 (Samoa)
+378 (San Marino)
+239 (Sao Tome And Príncipe)
+966 (Saudi Arabia)
+221 (Senegal)
+381 (Serbia)
+248 (Seychelles)
+232 (Sierra Leone)
+65 (Singapore)
+421 (Slovakia (Slovak Republic))
+386 (Slovenia)
+677 (Solomon Islands)
+252 (Somalia)
+27 (South Africa)
+34 (Spain)
+94 (Sri Lanka)
+508 (St. Pierre And Miquelon)
+249 (Sudan)
+597 (Suriname)
+268 (Swaziland)
+46 (Sweden)
+41 (Switzerland)
+963 (Syria, Syrian Arab Republic)
+886 (Taiwan)
+992 (Tajikistan)
+255 (Tanzania)
+66 (Thailand)
+670 (Timor-Leste (East Timor))
+228 (Togo)
+690 (Tokelau)
+676 (Tonga)
+1 (Trinidad And Tobago)
+216 (Tunisia)
+90 (Turkey)
+993 (Turkmenistan)
+1 (Turks And Caicos Islands)
+688 (Tuvalu)
+256 (Uganda)
+380 (Ukraine)
+971 (United Arab Emirates)
+44 (United Kingdom (Great Britain))
+1 (United States)
+598 (Uruguay)
+998 (Uzbekistan)
+678 (Vanuatu)
+39 (Vatican City State (Holy See))
+58 (Venezuela)
+84 (Vietnam)
+1 (Virgin Islands (British))
+1 (Virgin Islands (U.s.))
+681 (Wallis And Futuna Islands)
+967 (Yemen)
+260 (Zambia)
+263 (Zimbabwe)
Cellphone *
Cellphone *
Company Website/FB/IG*
Professional data
Ocupation *
Select an option
Doctor
Nurse
Administrative / Executive
Engineering
Clinical laboratory technician
Distributor / Vendor
Media representative
Student
Other option
Do you have any medical specialty? *
Select an option
YES
NO
Medical speciality *
Select an option
Allergies and immunology
Anesthesiology
Cardiology
General Surgery
Dermatology
endocrinology
Infectious diseases
gastroenterology
Geriatrics
Gynecology
Hematology
Internal Medicine
General practitioner
Nephrology
Pneumology
Neurosurgeon
Neurologist
Oncology
Pediatrics
Radiology and imaging
Rheumatology
Traumatology and orthopedics
Urology
Psychology/Psychiatry
Nutrition
Ophthalmology
Biology
Plastic surgery
Otorhinolaryngology
Other
Other Specialty *
Do you currently hold an administrative position? *
Select an option
YES
NO
Other specialty*
Select an option
Bacteriology
Biomedical
Biochemistry
Physicist
Maintenance
Chemist
Other
Other occupation *
Specify Position *
Position *
Select an option
Partner / Owner
President / CEO
Administrative council
Executive Secretary
Director
Deputy Director
Manager / Head of Department
Coordinator / Supervisor
Executive / Specialist
Technical
Analyst
Assistant
Other (Specify)
Specify Position *
Department *
Select an option
Medical director
Supply Chain / Logistics
Purchases / Acquisitions
Accounting finance
continuing medical education
Engineering
Legal
Marketing / Public Relations
Production / Manufacturing
Information Technology and Information Management
Sales / Business Development
General hospital services
Nursing
Other (Specify)
Main activity of the company or institution *
Select an option
Other department *
Name of company or institution *
Level of study *
Select an option
1st to 9th semester
MIP 1 and MIP 2
MPSS
Resident
Chief resident
Main Activity *
Select an option
Hospital
Medical Institute
Clinic
Laboratory
Independent Practice
Clinics Adjacent to Pharmacies
Import/Supplier/Merchandising
School
Government institution
Other services
Specify *
Approximately how many beds does the it have? *
Select an option
1-24
25-49
50 and more
Sector to which your company or institution belongs *
Select an option
Public
Private
Size of the company or institution by number of collaborators *
Select an option
1-10
11-50
51-250
250 +
In a decision making... *
Select an option
I decide/approve
I recommend/specific
I do not participate
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Expo Med Hospitalar Mexico 2025
