Provider Demographics
NPI:1083508964
Name:SANDOVAL, ARELY (DA)
Entity type:Individual
Prefix:
First Name:ARELY
Middle Name:
Last Name:SANDOVAL
Suffix:
Gender:F
Credentials:DA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7190 COLORADO BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-1808
Mailing Address - Country:US
Mailing Address - Phone:720-619-5333
Mailing Address - Fax:
Practice Address - Street 1:7190 COLORADO BLVD STE 300
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1808
Practice Address - Country:US
Practice Address - Phone:720-619-5333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHW-310172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker