Individual provider Active NPI

Dora D. Sanchez, RN

  • Administrator Registered Nurse
  • Laredo, TX
National Provider Identifier
1104086974
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
666697 Issued in TX
Practice address
2619 San Agustin Ave
Laredo, TX 78040-3506
Phone
(956) 334-1441
Fax
(956) 753-2169
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 666697 TX Primary

Addresses

Primary practice location

2619 San Agustin Ave
Laredo, TX 78040-3506

Mailing address

2619 San Agustin Ave
Laredo, TX 78040-3506
Phone (956) 334-1441

Other identifiers 1

IdentifierTypeStateIssuer
3-20365-8066-3OtherTXSTATE COMPTROLLER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
666697TXMDAdministrator Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213401600000",
    "number": "1104086974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SAN AGUSTIN AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780403506",
            "telephone_number": "956-334-1441",
            "fax_number": "956-753-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SAN AGUSTIN AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780403506",
            "telephone_number": "956-334-1441",
            "fax_number": "956-753-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DORA",
        "middle_name": "D.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "666697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE COMPTROLLER",
            "identifier": "3-20365-8066-3",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.