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

Miranda Villareal, LD

Individual provider Registered Dietitian · NPI 1972079515

Miranda Villareal, LD is a Registered Dietitian OR Nutrition Professional in Albuquerque, New Mexico. Qualified in 2021, 5 years ago. Licensed in New Mexico.

Years since qualifying
5
Licensed in
NM
In the registry since
2018
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

5203 Juan Tabo Blvd NE Ste 2A
Albuquerque, NM 87111-2691
Phone: (505) 266-6121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-1228 (NM)

Record details

NPI number1972079515
Entity typeIndividual (Type 1)
GenderFemale
Credentials LD
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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