Organization · Type 2 NPI
Mirage Wellness Center & Medspa Limited Liability Company
General Practice Physician · Rio Rancho, NM
NPI number
1427996347
Active
Practice location
1400 Barbara Loop SE Ste A
Rio Rancho, NM 87124-1088
Fax (505) 420-3738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1427996347
Mirage Wellness Center & Medspa Limited Liability Company's National Provider Identifier is 1427996347, issued on Mar 23, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rio Rancho, NM. The record was last updated on Mar 23, 2026.