Healthcare Provider Details

I. General information

NPI: 1073450474
Provider Name (Legal Business Name): SANDIA VIEW FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 MEADOWLARK LN SE STE 2
RIO RANCHO NM
87124-1050
US

IV. Provider business mailing address

4200 MEADOWLARK LN SE STE 2
RIO RANCHO NM
87124-1050
US

V. Phone/Fax

Practice location:
  • Phone: 505-239-7524
  • Fax:
Mailing address:
  • Phone: 505-239-7524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA GARCIA
Title or Position: NURSE PRACTITONEOR
Credential: FNP-C
Phone: 505-239-7524