# EL MIRADOR INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942617600
- **Authorized official:** LOUIS PEREA OWNER (PRESIDENT)
- **Authorized official phone:** (505) 293-5941

## Contact information

- **Practice address:** 10801 LOMAS BLVD NE STE 115, ALBUQUERQUE, NM 87112-5474
- **Practice address phone:** (505) 293-5941
- **Practice address fax:** (505) 271-0484
- **Mailing address:** 10801 LOMAS BLVD. N.E., SUITE 115, ALBUQUERQUE, NM 87112
- **Mailing address phone:** (505) 271-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 171WH0202X | Home Modifications Contractor | — | NULL | — |
| 171WH0202X | Home Modifications Contractor | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 04/23/2025