VICENTE AVILA MIRAMONTES LBSW
NPI 1114569605
Social Worker - School in Santa Fe, NM
Active since October 16, 2019
About Vicente Avila Miramontes Lbsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICENTE AVILA MIRAMONTES LBSW (NPI 1114569605) is an individual school provider in Santa Fe, New Mexico, licensed in New Mexico (392885) and active in the NPI registry since October 2019.
NPPES Registry Identity
NPI1114569605
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameVICENTE AVILA MIRAMONTESCredential: LBSW
Location Address13A SAN MARCOS LOOPSanta Fe, NM 87508-7083
Mailing Address13a San Marcos LoopSanta Fe, NM 87508-7083 · (505) 986-4007
Phone(505) 986-4007
Sole ProprietorYes
Enumeration DateOctober 16, 2019
✔ NPI 1114569605 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NM · 392885
13A SAN MARCOS LOOP, Santa Fe, NM 87508
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114569605, enumerated as an "individual" on October 16, 2019.
The provider is located at 13A SAN MARCOS LOOP SANTA FE, NM 87508 and the phone number is (505) 986-4007.
Social Worker with taxonomy code 1041S0200X and a focus in School.
