LAS BRISAS ENTERPRISES, LLC; NPI #1396243390

Contact Information

LAS BRISAS ENTERPRISES, LLC

1209 BONITA AVE SUITE A
GRANTS, NM 87020

Phone: 505-285-3443
Fax: 505-287-3418
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for LAS BRISAS ENTERPRISES, LLC

NPI Number 1396243390

LBN Legal business name LAS BRISAS ENTERPRISES, LLC

Authorized official RACHELLE GALINDO - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2018

Last updated 05/07/2025 - More than a year ago

Identifiers

NM	Medicaid	1104898840
NM	Medicaid	1659362333

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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