San Miguel Clinic Corp Dba Northern New Mexico Urology
San Miguel Clinic Corp Dba Northern New Mexico Urology is an Urology Physician in Las Vegas, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.
- Licensed in
- NM
- In the registry since
- 2005
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2301 7th StLas Vegas, NM 87701-4966
Phone: (505) 454-4000
Fax: (505) 454-4004
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 2000173 (NM) |
|---|
Record details
| NPI number | 1306830450 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Akhil Das — Urology · (505) 454-4000 |
| NPI enumerated | September 6, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2301 7th St, Las Vegas, NM 87701-4966 |