MEDICARE: ROCIO SANCHEZ OFFICE MANAGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063063733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCIO SANCHEZ OFFICE MANAGER

Provider Business Mailing Address
First Line	:	5805 MCNUTT RD STE D
Second Line	:
City	:	SANTA TERESA
State	:	NM
Zip	:	88008-8001
Country	:	US
Telephone Number	:	575-265-1717
Fax Number	:	575-332-4453

Provider Business Practice Location Address
First Line	:	5805 MCNUTT RD STE D
Second Line	:
City	:	SANTA TERESA
State	:	NM
Zip	:	88008-8001
Country	:	US
Telephone Number	:	575-265-1717
Fax Number	:	575-332-4453

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	09/24/2019

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