Healthcare Provider Details

I. General information

NPI: 1649120452
Provider Name (Legal Business Name): SANO MEDICAL & SKIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2026
Last Update Date: 01/31/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 S WHITTIER DR
DEMING NM
88030-5548
US

IV. Provider business mailing address

1415 S WHITTIER DR
DEMING NM
88030-5548
US

V. Phone/Fax

Practice location:
  • Phone: 575-642-3396
  • Fax:
Mailing address:
  • Phone: 575-642-3396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MARIE REGALADO
Title or Position: AUTHORIZED OFFICIAL
Credential: FNP-BC
Phone: 575-642-3396