Individual provider Active NPI

Sandra P. Perez, FNP

  • Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1356510952
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP116122 Issued in TX
Practice address
3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone
(956) 722-5007
Fax
(956) 725-5512
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 608198 TX
Nurse Practitioner 363L00000X AP116122 TX Primary

Addresses

Primary practice location

3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043

Mailing address

P.O. Box 451490
Laredo, TX 78045
Phone (956) 722-5007

Other names 1

  • Mrs. Sandra Gonzalez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140411000332 TX Practitioner - Nurse Practitioner 9830321520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Laredo Family Clinic PAGroup PAC ID 1153303037, 2 clinicians

Practice addresses (Care Compare)

3527 Jaime Zapata Memorial Hwy
Suite 101
Laredo, TX 78043-4788
Phone (956) 722-5007

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP116122TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Laredo Family Clinic PA CurrentSince Feb 22, 2014 Accepting new patients

Locations

3527 Jaime Zapata Memorial Hwy
Ste 101
Laredo, TX 78043
Phone (956) 722-5007

3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone (956) 717-1515

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDFBAA/Endpoint/BDFBAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1356510952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 451490",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78045",
            "telephone_number": "956-722-5007",
            "fax_number": "956-725-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 JAIME ZAPATA MEMORIAL HWY",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78043",
            "telephone_number": "956-722-5007",
            "fax_number": "956-725-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SANDRA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "608198",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP116122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GONZALEZ",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.