Provider Demographics
NPI:1003528209
Name:SANDOVAL, ASTRID C
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:C
Last Name:SANDOVAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 35701
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-9104
Mailing Address - Country:US
Mailing Address - Phone:787-213-5470
Mailing Address - Fax:
Practice Address - Street 1:CARR 137 KM 9.3 INTERIOR
Practice Address - Street 2:BO.FRANQUEZ
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-0068
Practice Address - Country:US
Practice Address - Phone:787-213-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program