Healthcare Provider Details

I. General information

NPI: 1134023690
Provider Name (Legal Business Name): MARITZA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 INDIAN SCHOOL RD NE
ALBUQUERQUE NM
87110-5200
US

IV. Provider business mailing address

PO BOX 1360
PENA BLANCA NM
87041-1360
US

V. Phone/Fax

Practice location:
  • Phone: 505-980-5156
  • Fax:
Mailing address:
  • Phone: 505-980-5156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: