Organization
EL MIRADOR INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS PEREA OWNER (PRESIDENT)
(505) 293-5941
Entity
Organization
Contact information
Practice address
10801 LOMAS BLVD NE STE 115, ALBUQUERQUE, NM 87112-5474
(505) 293-5941
(505) 271-0484
Mailing address
10801 LOMAS BLVD. N.E., SUITE 115, ALBUQUERQUE, NM 87112
(505) 271-2280
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
04/23/2025
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