Organization Active NPI

Sandra a Esquivel MD PA

  • Specialist
  • Weslaco, TX
National Provider Identifier
1356692164
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1991 Issued in TX
Legal business name
SANDRA A ESQUIVEL MD PA
Practice address
1330 E 6TH St Ste 201
Weslaco, TX 78596-6608
Phone
(956) 447-2668
Fax
(956) 973-0960
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Brenda Fonseca
Title
Office Manager
Phone
(956) 447-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J1991 TX Primary

Addresses

Primary practice location

1330 E 6TH St Ste 201
Weslaco, TX 78596-6608

Mailing address

1330 E 6TH St Ste 201
Weslaco, TX 78596-6608
Phone (956) 447-2668

Other identifiers 2

IdentifierTypeStateIssuer
97127702MedicaidTX
1053320713OtherTXNPI

National Provider Directory

National Provider Directory

Locations

1210 E 8th St
Ste 3
Weslaco, TX 78596
Phone (956) 296-2205

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1356692164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 6TH ST STE 201",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966608",
            "telephone_number": "956-447-2668",
            "fax_number": "956-973-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 6TH ST STE 201",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966608",
            "telephone_number": "956-447-2668",
            "fax_number": "956-973-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA A ESQUIVEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-447-2668"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97127702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053320713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.