Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariposa Transformation Wellness Center, LLC

Organization Physician Assistant · NPI 1962127878

Mariposa Transformation Wellness Center, LLC is a Physician Assistant in Albuquerque, New Mexico. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4550 Eubank Blvd NE Ste D205
Albuquerque, NM 87111-2565
Phone: (505) 234-6432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1962127878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lucero — Pa-C / Owner · (505) 234-6432
Other names Mariposa Transformation Wellness Center & Med Spa; Mariposa Transformation Wellness Center & Med Spa
NPI enumeratedOctober 4, 2022
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address4550 Eubank Blvd Ne, Suite D205, Albuquerque, NM 87111

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