Provider Demographics
NPI:1700524832
Name:SAUCEDO, VERONICA LIZETTE
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:LIZETTE
Last Name:SAUCEDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E RIO GRANDE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6088
Mailing Address - Country:US
Mailing Address - Phone:830-872-0010
Mailing Address - Fax:
Practice Address - Street 1:300 E RIO GRANDE ST STE 3
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6088
Practice Address - Country:US
Practice Address - Phone:830-872-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company