# SANDIA RHEUMATOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386009314
- **Authorized official:** ANDRES PEISAJOVICH MD (OWNER)
- **Authorized official phone:** (505) 205-1313

## Contact information

- **Practice address:** 3820 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4582
- **Practice address phone:** (505) 205-1313
- **Practice address fax:** (505) 212-2164
- **Mailing address:** 3820 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4582
- **Mailing address phone:** (505) 205-1313
- **Mailing address fax:** (505) 212-2164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | MD2008-0660 | NM | Yes |

## Other

- **Enumeration date:** 12/17/2015
- **Last updated:** 06/22/2016