Sandoval, Vesta

Sandoval, Vesta is an individual health care provider with primary practice located at 500 Walter Ne Ste 206, Albuquerque NM 87102. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Sandoval, Vesta can be contacted via phone (505) 727-2350.

Contact Information

Primary practice address
500 Walter Ne Ste 206 Albuquerque NM 87102
Fax: (505) 727-2355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 98330 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 98330 New Mexico
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 98330 New Mexico

Profile Details

NPI number 1376566497
LBN Legal business name Sandoval, Vesta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376566497 NPPES
New Mexico MEDICAID Z2208

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