Active NPI
Sandra Hernandez-Portillo, LBSW
- Social Worker
- El Paso, TX
National Provider Identifier
1487948469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 34977
- Practice address
- 1511 E Yandell Dr
El Paso, TX 79902-5629 - Phone
- (915) 532-9434
- Fax
- (915) 532-4820
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 34977 | TX | Primary |
Addresses
Primary practice location
1511 E Yandell Dr
El Paso, TX 79902-5629
Mailing address
1511 E Yandell Dr
El Paso, TX 79902-5629
Phone (915) 532-9434
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34977 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1487948469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 E YANDELL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025629",
"telephone_number": "915-532-9434",
"fax_number": "915-532-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 E YANDELL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025629",
"telephone_number": "915-532-9434",
"fax_number": "915-532-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-PORTILLO",
"first_name": "SANDRA",
"name_prefix": "Mrs.",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "34977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.