Sonja R Baca, R.D.
Individual provider Active NPI Registered Dietitian · Gallup, NM
NPI 1205958733 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1205958733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 485 (NM)
- Practice address
- 1910 Redrock Dr
Gallup, NM 87301-5682 - Phone
- (505) 863-7250
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 485 | NM | Yes |
Addresses
Primary practice location
1910 Redrock Dr
Gallup, NM 87301-5682
Mailing address
1901 Redrock Dr
PFS Dept
Gallup, NM 87301-5683
Phone (505) 863-7000
Other providers in Gallup, NM
- Hana Saleh Ayesh
- Abraham Azua
- Sharon L. Azure
- John Babu
- Lynette D Baca-Williams
- Yinaira Jannette Baez Valentin
- Jynell Bahe
- Sonja Rose Bahe
- Helena Rae Baker
- Sanaa Baker
All providers in Gallup, NM · Registered Dietitian in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. 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.