Healthcare Provider Details

I. General information

NPI: 1649663535
Provider Name (Legal Business Name): GABRIELA SANCHEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2015
Last Update Date: 06/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRESBYTERIAN KASEMAN HOSPITAL 8300 CONSTITUTION AVENUE NE
ALBUQUERQUE NM
87110
US

IV. Provider business mailing address

PRESBYTERIAN KASEMAN HOSPITAL 8300 CONSTITUTION AVENUE NE
ALBUQUERQUE NM
87110
US

V. Phone/Fax

Practice location:
  • Phone: 505-291-2540
  • Fax: 505-291-2557
Mailing address:
  • Phone: 505-291-2540
  • Fax: 505-291-2557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD2019-0262
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: