The Victorian House Sleep Center LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

THE VICTORIAN HOUSE SLEEP CENTER LLC

Practice address

4036 Corrales Rd
Corrales, NM 87048-9308

Phone

(505) 319-9617

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro Moreno Sr.

Title

Owner

Phone

(505) 319-9617

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1477710689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103045",
            "telephone_number": "505-888-6200",
            "fax_number": "505-888-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489308",
            "telephone_number": "505-319-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VICTORIAN HOUSE SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-319-9617",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Corrales, NM
• Providers in Corrales, NM by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.