Healthcare Provider Details

I. General information

NPI: 1750013033
Provider Name (Legal Business Name): HECTOR MANUEL SANCHEZ JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SAINT MICHAELS DR
SANTA FE NM
87505-7601
US

IV. Provider business mailing address

2823 TRUMAN ST NE
ALBUQUERQUE NM
87110-3031
US

V. Phone/Fax

Practice location:
  • Phone: 505-913-3361
  • Fax:
Mailing address:
  • Phone: 505-985-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO2024-0174
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: