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Individual
SANDRA MARIA CARDENAS VILLA
Active
Individual
SANDRA MARIA CARDENAS VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230375
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770642142
FALLON
—
05
—
2146835
—
MA
01
—
496793
TUFTS
—
01
—
510492088
UHC
—
01
—
6687413
CIGNA
—
01
—
95686502
NETWORK
—
01
—
AA101504
HPHC
—
01
—
J42674
BCBS
MA
Enumeration date
12/08/2006
Last updated
03/11/2010
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