Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY LEE SANDOVAL
Active Sole ProprietorGARY LEE SANDOVAL is a Program of All-Inclusive Care for the Elderly (PACE) healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1922786763 is currently active in the NPPES registry. Verify at CMS.
Program of All-Inclusive Care for the Elderly (PACE) · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1922786763
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2023 (3.1281528858579 yrs)
- Last Updated
- Aug 21, 2023
- License
-
5280 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2111 RAVEN LN SWALBUQUERQUE, NM, 871054530Browse NM providers · Browse ZIP 87105
- Phone
- 5055732721
- Primary Specialty
-
Program of All-Inclusive Care for the Elderly (PACE)
251T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.