Healthcare Provider Details

I. General information

NPI: 1891649679
Provider Name (Legal Business Name): MI VIDA WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 18TH ST NW
ALBUQUERQUE NM
87104-1313
US

IV. Provider business mailing address

619 18TH ST NW
ALBUQUERQUE NM
87104-1313
US

V. Phone/Fax

Practice location:
  • Phone: 206-504-3130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LUCIA FRAIRE
Title or Position: OWNER
Credential:
Phone: 206-504-3130