DR. SANDRA DIAZ DE LEON SHULTS (NPI# 1376739474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376739474 |
Entity Type | Individual |
Full Name | DR. SANDRA DIAZ DE LEON SHULTS |
Credential | M.D. |
Practice Address |
4532 N Mesa St Ste 2a El Paso TX 79912-6286 |
Mailing Address |
Po Box 3157 El Paso TX 79923-3157 |
Practice Telephone | 9155440326 |
Practice Fax Number | 9155442897 |
Mailing Telephone | 9155770051 |
Mailing Fax Number | 9155770054 |
Enumeration Date | 2007-09-21 |
Last Update Date | 2020-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | N7876 | TX | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | MD2009-0635 | NM | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3270 Joe Battle Blvd Ste 160, El Paso, TX 799382658 | 9158322831 | 9158322832 |
Street Address |
4532 N MESA ST STE 2A |
City | EL PASO |
State | TX |
Zip Code | 79912-6286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184618597 | Brian James August | Physical Medicine & Rehabilitation | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2005-08-31 |
1154826733 | Claudia S Flores-lopez | Nurse Practitioner | 4532 N Mesa St Ste 2a, El Paso, TX 79912 | 2018-03-27 |
1568854966 | Miguel Angel Rodriguez | Nurse Practitioner | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2015-02-23 |
1104258391 | Franchesca Del Pilar Cruz Perez | Internal Medicine | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2013-07-30 |
1609137637 | Ana Maria Saucedo | Physician Assistant | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2012-06-06 |
1225320278 | Luis Carlos Salayandia | Internal Medicine | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2011-05-10 |
1073827762 | Pablo Alberto Casares | Internal Medicine | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2010-08-05 |
1245566108 | Christopher Antonio Batista | Nurse Practitioner | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2009-10-28 |
1922331776 | Edward Sebastian Leyva | Family Medicine | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2009-09-11 |
1700017530 | Andrea Lynn Herrera | Physician Assistant | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2009-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
Find all providers in zip 79912 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170627 | Veronica Diane Garcia | Family Medicine | 5316 E Paisano Dr, El Paso, TX 79905-2942 | 2020-09-23 |
1881210599 | Sleep Doctor Pllc | Family Medicine | 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 | 2020-06-18 |
1801420104 | San Jose Moscati Medical Home | Family Medicine | 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 | 2020-02-25 |
1346882727 | Joseph William Garcia | Family Medicine | 2812 Granite Rock Dr, El Paso, TX 79938-2731 | 2019-10-17 |
1144781709 | Health Management Care Pa | Family Medicine | 9740 Dyer St Ste 111, El Paso, TX 79924-4700 | 2019-03-27 |
1346736444 | Rosa Ivelisse Colon | Family Medicine | 6545 Royal Ridge Dr, El Paso, TX 79912-7439 | 2018-07-02 |
1417450842 | Eq Medical Pa | Family Medicine | 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 | 2018-03-12 |
1841790078 | East El Paso Family Medicine Pa | Family Medicine | 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 | 2018-02-14 |
1255865879 | Dl Ep Enterprises, Inc | Family Medicine | 1325 Montana Ave, El Paso, TX 79902-5538 | 2017-04-20 |
1336672468 | Ibiye Owei | Family Medicine | 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 | 2017-04-05 |
Find all providers in EL PASO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.