National Provider Identifier Database

SANTA MARIA EL MIRADOR
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

SANTA MARIA EL MIRADOR
10 A VAN NU PO
SANTA FE, NM87508
Phone: 505-424-7700
Fax: 505-395-7452
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for SANTA MARIA EL MIRADOR

NPI Number 1730394123
Legal business name
LBN
SANTA MARIA EL MIRADOR
Authorized official PATRICIA ROMERO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/11/2007
Last updated 07/22/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: M1281
  • NM Medicaid: M2372

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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