Healthcare Provider Details

I. General information

NPI: 1548775893
Provider Name (Legal Business Name): BLINGUAL MULTICULTURAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 COPPER AVE NE
ALBUQUERQUE NM
87108-1473
US

IV. Provider business mailing address

5200 COPPER AVE NE
ALBUQUERQUE NM
87108-1473
US

V. Phone/Fax

Practice location:
  • Phone: 505-264-3102
  • Fax: 505-264-3102
Mailing address:
  • Phone: 505-264-3102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: T. ROSARIO ROMAN
Title or Position: PRESIDENT &CEO
Credential:
Phone: 505-264-3102