Provider Demographics
NPI:1417844499
Name:SANCHEZ, RAFAEL (RN)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 S PLAZA DR APT 2074
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1043
Mailing Address - Country:US
Mailing Address - Phone:520-954-9456
Mailing Address - Fax:
Practice Address - Street 1:2520 S PLAZA DR APT 2074
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1043
Practice Address - Country:US
Practice Address - Phone:520-954-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN169293163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology