MIRA CONSULTING INCORPORATED NPI 1609908763

NPI Information

NPI: 1609908763
Provider Name: MIRA CONSULTING, INCORPORATED
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
4100 HAWKINS ST NE STE A
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 898-2797
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MIRA CONSULTING, INCORPORATED is a public health or welfare in Albuquerque, NM. MIRA CONSULTING, INCORPORATED NPI is 1609908763. The provider is registered as an organization entity type.

The provider's business location address is:

4100 HAWKINS ST NE STE A
ALBUQUERQUE, NM
ZIP 87109-531
Phone: (505) 898-2797

The provider's authorized official is Daniel E. Mirabal .
The authorized official title is Ceo and has the following contact phone number (505) 898-2797.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes
2	1223D0001X	Dentist	Dental Public Health			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S2785	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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