Provider Demographics
NPI:1588944078
Name:SONORAN VIEW MANAGEMENT, INC.
Entity type:Organization
Organization Name:SONORAN VIEW MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GODOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-239-1595
Mailing Address - Street 1:621 N TERCERA AVE
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-4072
Mailing Address - Country:US
Mailing Address - Phone:480-239-1595
Mailing Address - Fax:480-855-3507
Practice Address - Street 1:621 N TERCERA AVE
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-4072
Practice Address - Country:US
Practice Address - Phone:480-239-1595
Practice Address - Fax:480-855-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-28
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5675261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ148620OtherPTAN