Provider Demographics
NPI:1710605746
Name:SANDOVAL, LUIS ARMANDO JR (NREMT-P, LPN)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:ARMANDO
Last Name:SANDOVAL
Suffix:JR
Gender:M
Credentials:NREMT-P, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3004
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-3004
Mailing Address - Country:US
Mailing Address - Phone:956-317-1147
Mailing Address - Fax:
Practice Address - Street 1:4522 E HIGHWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-6242
Practice Address - Country:US
Practice Address - Phone:956-317-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport