Mira Sol Lymphedema Rehab Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIRA SOL LYMPHEDEMA REHAB CENTER LLC

Practice address

2455 Missouri Ave
Suite B
Las Cruces, NM 88001-5122

Phone

(505) 556-8440

Fax

(505) 556-8439

NPI assigned

Oct 17, 2006

Last updated

Dec 17, 2007By 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

Peter Steinmetz, MD

Title

Physician

Phone

(505) 647-8366

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1588744189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041560",
            "telephone_number": "505-647-8366",
            "fax_number": "505-647-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 MISSOURI AVE",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015122",
            "telephone_number": "505-556-8440",
            "fax_number": "505-556-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA SOL LYMPHEDEMA REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "STEINMETZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-647-8366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94078807",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Miner, DDS,MS
• Angel Mines
• Vincent Andrew Minjarez
• Megan Minnielli
• Paul W Minter, LISW
• Angela P Mirabal, LCSW
• Annette Mirabal
• Jannet G Miramontes, LMSW
• Dawn Chavez Miranda, COTA
• Manuel A Mireles, SLP

• Physical Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.