| Doctor Name: | SANDRA PEREZ |
| NPI Number: | 1801245741 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 657384 |
| Business Practice Address: | 4085 Mcnutt Rd Sunland Park, NM - 880639050 |
| Business Phone Number: | 5755891668 |
| Business Fax Number: | |
| Mailing Address: | Po Box 70, ANTHONY |
| State: | NM |
| Postal Code: | 880210070 |
| Phone Number: | 5758826101 |
| Fax Number: | 5758826926 |
| NPI Enumeration Date: | 06/10/2016 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 657384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |