Healthcare Provider Details

I. General information

NPI: 1497894406
Provider Name (Legal Business Name): DEBORAH SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 RODEO RD
SANTA FE NM
87507-6503
US

IV. Provider business mailing address

655 GALISTEO ST UNIT 7
SANTA FE NM
87505-8875
US

V. Phone/Fax

Practice location:
  • Phone: 505-474-0126
  • Fax:
Mailing address:
  • Phone: 505-690-9872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2004-0459
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: