Michael T Sanchez, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Albu, NM
NPI 1194021402 · NPPES record last updated Nov 14, 2011
Key facts
- NPI
- 1194021402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- CRNA-01156 (NM)
- Practice address
- 1100 Central SE
Albu, NM 87102 - Phone
- (505) 841-1234
- Fax
- (505) 841-1956
- NPI assigned
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SRA 100025 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Pain Management Services of Pueblo | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | SRA 100025 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-01156 | NM | Yes |
Addresses
Primary practice location
1100 Central SE
Albu, NM 87102
Mailing address
1720 Louisiana Blvd NE
Suite #401
Albuquerque, NM 87110-7022
Phone (505) 260-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 643406 | Medicaid | AZ |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.