National Provider Identifier Database

SANGRE DE CRISTO HEART CENTER
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

SANGRE DE CRISTO HEART CENTER
3917 WEST ROAD
SUITE 101
LOS ALAMOS, NM87544
Phone: 505-662-7008
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for SANGRE DE CRISTO HEART CENTER

NPI Number 1134450885
Legal business name
LBN
SANGRE DE CRISTO HEART CENTER
Authorized official ANTHONY SANDOVAL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/20/2010
Last updated 01/31/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 84-112

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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