Provider Demographics
NPI:1497442032
Name:SANCHEZ, AILEEN
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14852 TIERRA FORTALEZA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4892
Mailing Address - Country:US
Mailing Address - Phone:915-455-4201
Mailing Address - Fax:915-455-4201
Practice Address - Street 1:1941 NEHEMIAH CT
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1993
Practice Address - Country:US
Practice Address - Phone:752-376-5955
Practice Address - Fax:915-455-4201
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)