Minjarez, Vincent Andrew
Minjarez, Vincent Andrew is an sole proprietor health care provider with primary practice located at 1780 E University Ave , Las Cruces NM 88003-1229. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Minjarez, Vincent Andrew can be contacted via phone (575) 646-0111.Contact Information
Primary practice address
1780 E University Ave
Las Cruces NM 88003-1229
Phone: (575) 646-0111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1194114827 |
|---|---|
| LBN Legal business name | Minjarez, Vincent Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2015 |
| Last updated | Jan 19th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194114827 | NPPES |
| New Mexico | Other | 2255A2300X | ATHLETIC TRAINING TAXONOMY CODE |
| New Mexico | Other | 390200000X | ATHLETIC TRAINING TAXONOMY CODE |
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