Cervantes, Miguel

Cervantes, Miguel is an individual health care provider with primary practice located at 105 W Griggs Ave , Las Cruces NM 88001. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Cervantes, Miguel can be contacted via phone (575) 647-2800.

Contact Information

Primary practice address
105 W Griggs Ave Las Cruces NM 88001
Fax: (575) 647-2898
Website:

Health care specialties

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

Profile Details

NPI number 1619154978
LBN Legal business name Cervantes, Miguel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Aug 24th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619154978 NPPES
New Mexico MEDICAID 15334589

Popular Providers