Munoz, Miriam

Munoz, Miriam is an individual health care provider with primary practice located at 5305 Mcnutt Rd , Santa Teresa NM 88008-9685. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Munoz, Miriam can be contacted via phone (575) 882-5100.

Contact Information

Primary practice address
5305 Mcnutt Rd Santa Teresa NM 88008-9685
Fax: (575) 882-1151
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1407421696
LBN Legal business name Munoz, Miriam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407421696 NPPES
New Mexico MEDICAID 35650338

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