Provider Demographics
NPI:1003036773
Name:SANCHEZ, ROSA PADILLA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:PADILLA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:ROSA
Other - Middle Name:
Other - Last Name:PADILLA
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LICENSED VOCATIONAL
Mailing Address - Street 1:36 MILLER ROAD
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076
Mailing Address - Country:US
Mailing Address - Phone:831-728-4719
Mailing Address - Fax:
Practice Address - Street 1:21 SECONDO WAY
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076
Practice Address - Country:US
Practice Address - Phone:831-728-0421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA685586163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse