Provider Demographics
NPI:1467705046
Name:SANCHEZ, MARIA A (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SOPLO CT
Mailing Address - Street 2:
Mailing Address - City:BELEN
Mailing Address - State:NM
Mailing Address - Zip Code:87002-6459
Mailing Address - Country:US
Mailing Address - Phone:505-615-3335
Mailing Address - Fax:
Practice Address - Street 1:1 SOPLO CT
Practice Address - Street 2:
Practice Address - City:BELEN
Practice Address - State:NM
Practice Address - Zip Code:87002-6459
Practice Address - Country:US
Practice Address - Phone:505-615-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator