Healthcare Provider Details

I. General information

NPI: 1912945445
Provider Name (Legal Business Name): MS. SANDORA TAUZ TAMUPOVI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 YOPOVI PO
SANTA FE NM
87506
US

IV. Provider business mailing address

10 YOPOVI PO
SANTA FE NM
87506-2642
US

V. Phone/Fax

Practice location:
  • Phone: 505-692-0050
  • Fax:
Mailing address:
  • Phone: 505-692-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number5228
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: