Internal Medicine
Dr. PHILIP MICELI DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1851363030 · enumerated 2006-02-02 · record updated 2015-02-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location ACOMA-CANONCITO-LAGUNA INDIAN, 80B VETERANS BLVD, SAN FIDEL, NEW MEXICO, 87049 (505) 552-5300 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 130, ACOMA CANONCITO LAGUNA INDIAN, ATTN ACL PROVIDER ENROLLMENT, SAN FIDEL, NM, 87049-0130 (505) 552-5300 Fax (505) 552-5490 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License DO1507 NV
- Internal Medicine 207R00000X · Primary · License 9700670 NC
Locations and evidence
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Practice location
SAN FIDEL, NEW MEXICO, 87049
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.