National Provider Identifier Database

LAS BRISAS ENTERPRISES LLC
Dental


Contact Information

LAS BRISAS ENTERPRISES, LLC
1209 BONITA AVE SUITE A
GRANTS, NM87020
Phone: 505-285-3443
Fax: 505-287-3418
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for LAS BRISAS ENTERPRISES, LLC

NPI Number 1396243390
Legal business name
LBN
LAS BRISAS ENTERPRISES, LLC
Authorized official RACHELLE GALINDO - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/25/2018
Last updated 05/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 1104898840
  • NM Medicaid: 1659362333

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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