Miriam Edith Tarango
Individual provider Active NPI Speech-Language Assistant · Hagerman, NM
NPI 1134950397 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1134950397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SAH-2024-0272 (NM)
- Practice address
- 406 Cambridge Ave
Hagerman, NM 88232-9610 - Phone
- (575) 637-1912
- NPI assigned
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SAH-2024-0272 | NM | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SAH-2024-0272 | NM | Yes |
Addresses
Primary practice location
406 Cambridge Ave
Hagerman, NM 88232-9610
Mailing address
305 Fairview Ave
Hagerman, NM 88232-9783
Phone (575) 637-1912
Other providers in Hagerman, NM
- Katelyn Johnson
- Laura Lorraine Orozco
- Carolyn Marie Owens I
- Crystal Denise Pisana
- Warren Scott
- Town of Hagerman
All providers in Hagerman, NM · Speech-Language Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.