NPI 1003985417

Carlos Manuel de Sanctis, MD

Practitioner Pediatrics Physician Gallup, NM

Practice location

Address: 516 E. Nizhoni Blvd., Gallup, NM 87301
Phone: (505) 722-1000
Fax: (505) 722-1268
Mailing address: PO Box 1337, Gallup, NM 87305-1337

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 12531 (PR)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1003985417
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2006
Record last updated: 9 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.