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

Mauricio Ernesto Corral

Individual provider Critical Care Medicine Registered Nurse · NPI 1225975444

Mauricio Ernesto Corral is a Critical Care Medicine Registered Nurse in Gallup, New Mexico. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 232814 (SC)

Record details

NPI number1225975444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address516 E Nizhoni Blvd, Gallup, NM 87301-5748

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