Provider Demographics
NPI:1043053002
Name:SANCHEZ, ESPERANZA CELIS
Entity type:Individual
Prefix:MRS
First Name:ESPERANZA
Middle Name:CELIS
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 W INA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4407
Mailing Address - Country:US
Mailing Address - Phone:520-297-9286
Mailing Address - Fax:520-297-9267
Practice Address - Street 1:920 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4407
Practice Address - Country:US
Practice Address - Phone:520-297-9286
Practice Address - Fax:520-297-9267
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL9749H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ187040OtherARIZONA AHCCCS