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  7. NPI Record 1134713985

MIRELES AUTISM & BEHAVIORAL CENTER
Complete NPI Record 1134713985
Clinic/Center - Multi-Specialty in Mcallen, TX

NPI Status: Active since February 23, 2021

Contact Information

110 E SAVANNAH AVE BLDG B201
MCALLEN, TX
ZIP 78503
Phone: (956) 627-3660

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Enumeration Date
  17. Last Update Date
  18. Authorized Official Last Name
  19. Authorized Official First Name
  20. Authorized Official Title or Position
  21. Authorized Official Telephone Number
  22. Healthcare Provider Taxonomy Code 1
  23. Healthcare Provider Primary Taxonomy Switch 1
  24. Is Organization Subpart
  25. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1134713985. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1134713985
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 110 E SAVANNAH AVE BLDG B201
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Business Mailing Address City Name: MCALLEN
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: TX
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 785031291
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 110 E SAVANNAH AVE BLDG B201
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: MCALLEN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: TX
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 785031291
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9566273660
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 2/23/2021
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 2/23/2021
The date that a record was last updated or changed.
Authorized Official Last Name: MIRELES
The date that a record was last updated or changed.
Authorized Official First Name: TATIANA
The first name of the authorized official.
Authorized Official Title or Position: EXECUTIVE ADMINISTRATOR
The first name of the authorized official.
Authorized Official Telephone Number: 9566273660
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 261QM1300X
The 10-position telephone number of the authorized official.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
NPI Certification Date: 2/12/2021