Ruby Sandoval

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1020330 Issued in TX

Practice address

3203 Santa Lydia St
Mission, TX 78572-7653

Phone

(956) 789-6699

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Edinburg Pediatric Network LLC

  • General Practice Physician
  • Pharr, TX
  • NPI 1669708780
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Nueces Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1215314364

  Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1487259446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 SANTA LYDIA ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727653",
            "telephone_number": "956-789-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 SANTA LYDIA ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727653",
            "telephone_number": "956-789-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "RUBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1020330",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romeo Sanchez Jr.
• Yaled Sanchez
• Lory Crystal Sandoval, D.P.C, L.P.C
• Monica G Sandoval, SLPA
• Patricia Sandoval, D.D.S.
• Juan A Santoyo
• Ajithraj Sathiyaraj, MD
• Abigail Sauceda
• Saucedo Family Clinic PLLC
• Juan Ricardo Saucedo, FNP

• Family Nurse Practitioner in Mission, TX
• Providers in Mission, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.