Sandy De Leon Adames
Individual provider Active NPI Driver · Vernon Rockville, CT
NPI 1386205342 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1386205342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 77 Hartl Dr
Vernon Rockville, CT 06066-5218 - Phone
- (860) 609-1581
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
77 Hartl Dr
Vernon Rockville, CT 06066-5218
Mailing address
77 Hartl Dr
Vernon Rockville, CT 06066-5218
Phone (860) 609-1581
Other providers in Vernon Rockville, CT
- Constantinos A Constantinou
- Lisa Corcoran
- Jo-Lea Cotton
- David Neuhaus, MD
- Susan Davis
- Dental Associates of Rockville LLC
- Dr. Girish Sharma
- Heba Hussam El-Jafarawi
- Emily Wyckoff LLC
- Exchange Club Center for the Prevention of Child Abuse of CT, Inc.
All providers in Vernon Rockville, CT · Driver in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. 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.