MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY – NPI #1427996347
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY is a provider located in RIO RANCHO, NM. NPPES recently assigned the NPI number 1427996347 to MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY on March 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY below.

NPI Profile for
MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY

NPI Number
1427996347
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIRAGE WELLNESS CENTER & MEDSPA LIMITED LIABILITY COMPANY
Primary location
1400 BARBARA LOOP SE STE A
RIO RANCHO, NM 87124-1088
Phone: (505) 420-3737 Fax: (505) 420-3738
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELENA MARTINEZ
PRACTICE MANAGER
Phone: (505) 420-3737
Updated
Certification Date
Mar 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.