Healthcare Provider Details

I. General information

NPI: 1376447730
Provider Name (Legal Business Name): SONRISA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 ISLETA BLVD SW STE 1
ALBUQUERQUE NM
87105-4089
US

IV. Provider business mailing address

2903 EL CORTO DR SW
ALBUQUERQUE NM
87105-5629
US

V. Phone/Fax

Practice location:
  • Phone: 505-503-3831
  • Fax:
Mailing address:
  • Phone: 505-503-3831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: FERRIN LIMON
Title or Position: OWNER/PROVIDER
Credential: FNP
Phone: 505-503-3831