JENNIFER M MIRABAL
NPI 1245386648
Specialist in Rio Rancho, NM

Q: What is Jennifer Mirabal's NPI number?

The NPI number for Jennifer Mirabal is 1245386648. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Jennifer Mirabal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mirabal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2007

4100 SARA RD SE, RR7 MAILSTOP 108, RIO RANCHO, NM 87124(505) 239-9644 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer M Mirabal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M MIRABAL (NPI 1245386648) is an individual specialist in Rio Rancho, New Mexico, licensed in New Mexico (5462) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1245386648

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameJENNIFER M MIRABAL

Location Address4100 SARA RD SE, RR7 MAILSTOP 108Rio Rancho, NM 87124-1025

Mailing Address4909 Indigo Dr NwAlbuquerque, NM 87120-4419 · (505) 615-9824

Phone(505) 239-9644

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245386648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NM · 5462

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4100 SARA RD SE, Rio Rancho, NM 87124

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIENNE VARBEL LMT

Specialist

4100 SARA RD SE, RR7 MAILSTOP 108
RIO RANCHO, NM 87124

Sandoval County (505) 450-1808

MISS SHANNON LEE LAWSON PA

Physician Assistant

4100 SARA RD SE
RIO RANCHO, NM 87124

Sandoval County (505) 253-7900

JABEZ BABU JOHN MD

Family Medicine

4100 SARA RD SE
RIO RANCHO, NM 87124

Sandoval County (505) 253-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mirabal's NPI number?

The NPI number for Jennifer Mirabal is 1245386648. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jennifer Mirabal located?

Jennifer Mirabal practices at 4100 Sara Rd SE Rr7 Mailstop 108, Rio Rancho, NM 87124. The listed phone number is (505) 239-9644.

What is Jennifer Mirabal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Mirabal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.