Provider Demographics
NPI:1275001570
Name:SANCHEZ, BELISA EVALYN (MT)
Entity Type:Individual
Prefix:MS
First Name:BELISA
Middle Name:EVALYN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MT
Other - Prefix:MS
Other - First Name:BELISA
Other - Middle Name:EVALYN
Other - Last Name:MANNRIQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT
Mailing Address - Street 1:3385 MCALLEN RD APT 5902
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9472
Mailing Address - Country:US
Mailing Address - Phone:956-459-7361
Mailing Address - Fax:
Practice Address - Street 1:3385 MCALLEN RD APT 5902
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9472
Practice Address - Country:US
Practice Address - Phone:956-459-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT108482225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty