| Doctor Name: | MICHAEL MARTIN GRIJALVA |
| NPI Number: | 1922299130 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0803 |
| Business Practice Address: | 8400 Menaul Blvd Ne Sutie F. Albuquerque, NM - 871122260 |
| Business Phone Number: | 5052997777 |
| Business Fax Number: | 5052997777 |
| Mailing Address: | 8400 Menaul Blvd Ne, Sutie F. ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871122260 |
| Phone Number: | 5052997777 |
| Fax Number: | 5052997777 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 0803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |