| Mira Consulting, Incorporated | |
|
4100 Hawkins St Ne Ste A Albuquerque NM 87109-4531 | |
| (505) 898-2797 | |
| Not Available |
| Full Name | Mira Consulting, Incorporated |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 4100 Hawkins St Ne Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Daniel E. Mirabal (CEO) |
| Authorized Official Contact | 5058982797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Consulting, Incorporated 4100 Hawkins St Ne Ste A Albuquerque NM 87109-4531 Ph: (505) 898-2797 | Mira Consulting, Incorporated 4100 Hawkins St Ne Ste A Albuquerque NM 87109-4531 Ph: (505) 898-2797 |
| NPI Number | 1609908763 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609908763 | NPI | - | NPPES |
| S2785 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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