Healthcare Provider Details

I. General information

NPI: 1740092170
Provider Name (Legal Business Name): SANDIA SENIOR MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SAN MATEO BLVD NE
ALBUQUERQUE NM
87108-1382
US

IV. Provider business mailing address

222 CAMINO DE LA TIERRA
CORRALES NM
87048-8562
US

V. Phone/Fax

Practice location:
  • Phone: 505-382-4744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN VALERIO
Title or Position: BUSINESS OFFICE
Credential:
Phone: 505-377-3829