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Contact Information

SAN MIGUEL EMERGENCY GROUP LLC
104 LEGION DR
LAS VEGAS, NM87701-4804
 Phone: 800-893-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAN MIGUEL EMERGENCY GROUP LLC · (Female)

NPI # 1861430480
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2006
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid 03188337
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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