NPIMap

Organization Active NPI

Corazon-Panes Sanchez,LLC

  • Pediatrics Physician
  • Port Deposit, MD
National Provider Identifier
1265257588
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CORAZON-PANES SANCHEZ,LLC
Practice address
20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801
Phone
(410) 642-9172
NPI assigned
Nov 21, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Corazon SanchezNPI 1922058650
Title
Physician
Phone
(443) 807-3442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801

Mailing address

20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801
Phone (410) 642-9172

National Provider Directory

National Provider Directory
Tax ID family
Corazon-Panes Sanchezllc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1265257588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRAIGTOWN RD STE 101",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041801",
            "telephone_number": "410-642-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRAIGTOWN RD STE 101",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041801",
            "telephone_number": "410-642-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON-PANES SANCHEZ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "443-807-3442"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Deposit, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.