Mirabal, Alyssa Briana
Mirabal, Alyssa Briana is an sole proprietor health care provider with primary practice located at 1851 Old Us 66 , Edgewood NM 87015-7200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mirabal, Alyssa Briana can be contacted via phone (505) 286-2396.Contact Information
Primary practice address
1851 Old Us 66
Edgewood NM 87015-7200
Phone: (505) 286-2396
Fax: (505) 272-8045
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2023-0130 | New Mexico |
Profile Details
NPI number | 1043773005 |
---|---|
LBN Legal business name | Mirabal, Alyssa Briana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 8th, 2019 |
Last updated | Jul 27th, 2023 - about 2 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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