Sandoval, Cirilo
Sandoval, Cirilo is an individual health care provider with primary practice located at 1200 N Paseo De Onate , Espanola NM 87532-2687. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sandoval, Cirilo can be contacted via phone (505) 443-2800.Contact Information
Primary practice address
1200 N Paseo De Onate
Espanola NM 87532-2687
Phone: (505) 443-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-1139 | New Mexico |
Profile Details
| NPI number | 1235231440 |
|---|---|
| LBN Legal business name | Sandoval, Cirilo |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235231440 | NPPES |
| New Mexico | MEDICAID | 1235231440 | |
| New Mexico | MEDICAID | A0175 |
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