1548622988 NPI number — MRS. GLORIA LUZ ANGELICA CARRANZA SANCHEZ D.D.S.

Table of content: MRS. GLORIA LUZ ANGELICA CARRANZA SANCHEZ D.D.S. (NPI 1548622988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548622988 NPI number — MRS. GLORIA LUZ ANGELICA CARRANZA SANCHEZ D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARRANZA SANCHEZ
Provider First Name:
GLORIA
Provider Middle Name:
LUZ ANGELICA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROCHA
Provider Other First Name:
GLORIA
Provider Other Middle Name:
LUZ ANGELICA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1548622988
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4364 BONITA RD #233
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BONITA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91902-1421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-383-8069
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TEPEYAC 2722
Provider Second Line Business Practice Location Address:
COL. CORDOBA-AMERICAS
Provider Business Practice Location Address City Name:
CD. JUAREZ
Provider Business Practice Location Address State Name:
CHIHUAHUA
Provider Business Practice Location Address Postal Code:
32310
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
011526566115252
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  996081 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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