Healthcare Provider Details

I. General information

NPI: 1407568264
Provider Name (Legal Business Name): SARA ESQUIVEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RIO GRANDE HIGH SCHOOL - SCHOOL BASED HEALTH CENTER 2300 ARENAL RD SW
ALBUQUERQUE NM
87105-4160
US

IV. Provider business mailing address

PO BOX 27561 DEPT#31116
ALBUQUERQUE NM
87125-7561
US

V. Phone/Fax

Practice location:
  • Phone: 505-768-5450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: