Healthcare Provider Details

I. General information

NPI: 1649106048
Provider Name (Legal Business Name): TRANQI HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 EL PASEO RD STE 308
LAS CRUCES NM
88001-6024
US

IV. Provider business mailing address

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7825
US

V. Phone/Fax

Practice location:
  • Phone: 915-213-4529
  • Fax:
Mailing address:
  • Phone: 915-213-4529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERTO GAXIOLA
Title or Position: MANAGING MEMBER
Credential:
Phone: 915-228-5658