DR. SANDRA DIAZ DE LEON SHULTS


Address: 4532 N Mesa St Ste 2a, El Paso, TX 79912-6286
Phone: 9155440326

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3270 Joe Battle Blvd Ste 160, El Paso, TX 799382658 9158322831 9158322832

Office Location

Street Address 4532 N MESA ST STE 2A
City EL PASO
State TX
Zip Code 79912-6286

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City EL PASO
Zip Code 79912

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Dataset Information

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.

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