Individual provider · Type 1 NPI
Gary Lee Sandoval
PACE Provider Organization · Albuquerque, NM
Practice location
2111 Raven Ln SW
Albuquerque, NM 87105-4530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| PACE Provider Organization Primary | 251T00000X | 5280 (NM) |
PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…
Another provider at this address
About NPI 1922786763
Gary Lee Sandoval's National Provider Identifier is 1922786763, issued on Jul 11, 2023. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 21, 2023.