Individual
MR. CARLOS DAVID MIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISC INDEPENDENT SOC
Contact information
Practice address
413 SIPAPU RD, TAOS, NM 87571
(505) 758-5857
(505) 758-2832
Mailing address
PO BOX 714, ARROYO SECO, NM 87514
(505) 776-8915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
07/13/2026
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