Mirage Wellness Center & Medspa Limited Liability Company
NPI 1427996347ActiveOrganization· General Practice· Rio Rancho, NM
General Practice in Rio Rancho, New Mexico, registered in NPPES in March 2026. The authorized official on file is Elena Martinez, PRACTICE MANAGER, Practice Manager.
Overview
| NPI | 1427996347 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2026 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|