MEDICARE: SANDRA DENISE WILEY LMSW-IPR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1306420914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA DENISE WILEY LMSW-IPR

Provider Business Mailing Address
First Line	:	PO BOX 29206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-0206
Country	:	US
Telephone Number	:	210-904-4095
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 FIRESTONE PKWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1544
Country	:	US
Telephone Number	:	210-904-4095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	05/10/2021

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1811049232 — DR. BONNIE NG O.D.
Practice Location Address:

1544 CHURCH ST
SAN FRANCISCO, CA
94131-2018

Practice Phone: 415-648-4200
Practice Fax:

1609082304 — DR. ONELIA CRESPO-CRUZ M.D
Practice Location Address:

1485 ASHFORD AVE. , ST. MARY'S PLAZA 503 SOUTH
SAN JUAN, PR
00907-1544

Practice Phone: 787-726-2269
Practice Fax:

1144403601 — DR. JAMES C BYRNE D.M.D.
Practice Location Address:

13080 SIGNATURE PT , APT. 88
SAN DIEGO, CA
92130-1544

Practice Phone: 323-841-4060
Practice Fax:

1841786837 — BONNIE NG, O.D., A PROFESSIONAL CORPORATION
Practice Location Address:

1544 CHURCH ST
SAN FRANCISCO, CA
94131-2018

Practice Phone: 415-648-4200
Practice Fax:

1932758646 — REENIE ASSA PHARMD
Practice Location Address:

1337 MONITOR RD
SAN DIEGO, CA
92110-1544

Practice Phone: 858-205-4366
Practice Fax:

Directions to “ SANDRA DENISE WILEY LMSW-IPR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.