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MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY
NPI 1427996347
General Practice in Rio Rancho, NM

Active since March 23, 2026
1400 BARBARA LOOP SE STE A, RIO RANCHO, NM 87124(505) 420-3737(505) 420-3738 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mirage Wellness Center & Medspa Limited Liability Company NPPES

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

MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY (NPI 1427996347) is a healthcare organization registered as a general practice in Rio Rancho, New Mexico and active in the NPI registry since March 2026. The organization lists Elena Martinez, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1427996347
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY
Location Address1400 BARBARA LOOP SE STE ARio Rancho, NM 87124-1088
Mailing Address1400 Barbara Loop Se Ste ARio Rancho, NM 87124-1088 · (505) 420-3737 · Fax (505) 420-3738
Phone(505) 420-3737
Fax(505) 420-3738
Organization SubpartNo
Authorized OfficialElena MartinezPractice Manager · (505) 420-3737
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1427996347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1400 BARBARA LOOP SE STE A, Rio Rancho, NM 87124
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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 2

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

DR. WILLIAM WALLACE ANDERSON M.D.
Family Medicine
1400 BARBARA LOOP SE STE A
RIO RANCHO, NM 87124
Sandoval County (505) 892-9711
GWENDOLYN CHARLEE FNP-BC
Nurse Practitioner (Family)
1400 BARBARA LOOP SE STE A
RIO RANCHO, NM 87124
Sandoval County (505) 414-6449

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 Mirage Wellness Center & Medspa Limited Liability Company's NPI number?

The NPI number for Mirage Wellness Center & Medspa Limited Liability Company is 1427996347. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Mirage Wellness Center & Medspa Limited Liability Company located?

Mirage Wellness Center & Medspa Limited Liability Company is located at 1400 Barbara Loop SE Ste A, Rio Rancho, NM 87124. The listed phone number is (505) 420-3737.

What is Mirage Wellness Center & Medspa Limited Liability Company's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mirage Wellness Center & Medspa Limited Liability Company was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.