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SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY
NPI 1306830450
Urology in Las Vegas, NM

Active since September 06, 2005
2301 7TH ST, LAS VEGAS, NM 87701(505) 454-4000(505) 454-4004 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Miguel Clinic Corp Dba Northern New Mexico Urology NPPES

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

SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY (NPI 1306830450) is a healthcare organization registered as an urology in Las Vegas, New Mexico and active in the NPI registry since September 2005. The organization lists Akhil Das, Urology, as its authorized official.

NPPES Registry Identity

NPI1306830450
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY
Location Address2301 7TH STLas Vegas, NM 87701-4966
Mailing Address2301 7th StLas Vegas, NM 87701-4966 · (505) 454-4000 · Fax (505) 454-4004
Phone(505) 454-4000
Fax(505) 454-4004
Organization SubpartNo
Authorized OfficialAkhil DasUrology · (505) 454-4000
Enumeration DateSeptember 6, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306830450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NM · 2000173
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2301 7TH ST, Las Vegas, NM 87701
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Other Identifiers 1

Medicaid09426531NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MRS. MARIA L VIGIL LPCC, LMSW
Counselor (Professional)
2301 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 454-9611
CHRIS SIXTO MANZANARES LADAC, LBSW
Counselor (Addiction (Substance Use Disorder))
2301 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 454-9611
BERNADETTE MONTOYA L.M.H.C.
Counselor (Mental Health)
2301 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 454-9611
DR. JERRY K WILLIAMS JR. M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2301 7TH ST, SUITE B
LAS VEGAS, NM 87701
San Miguel County (505) 426-1200
LINCARE INC
Durable Medical Equipment & Medical Supplies
2301 7TH ST, SUITE B
LAS VEGAS, NM 87701
San Miguel County (727) 431-8462
RIO GRANDE ALCOHOLISM TREATMENT PROGRAM
Community/Behavioral Health
2301 7TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 579-4253

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 San Miguel Clinic Corp Dba Northern New Mexico Urology's NPI number?

The NPI number for San Miguel Clinic Corp Dba Northern New Mexico Urology is 1306830450. It was assigned to this organization in the NPPES registry on September 6, 2005.

Where is San Miguel Clinic Corp Dba Northern New Mexico Urology located?

San Miguel Clinic Corp Dba Northern New Mexico Urology is located at 2301 7th St, Las Vegas, NM 87701. The listed phone number is (505) 454-4000.

What is San Miguel Clinic Corp Dba Northern New Mexico Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for San Miguel Clinic Corp Dba Northern New Mexico Urology was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.