Provider Demographics
NPI:1891527305
Name:ARMIJO, MIREYA
Entity type:Individual
Prefix:
First Name:MIREYA
Middle Name:
Last Name:ARMIJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIREYA
Other - Middle Name:N
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 DANIEL CT
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-6180
Mailing Address - Country:US
Mailing Address - Phone:575-639-4179
Mailing Address - Fax:
Practice Address - Street 1:665 E UNIVERSITY AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3363
Practice Address - Country:US
Practice Address - Phone:575-243-5846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator