Maricela A Mazuca in San Antonio - Medical
Maricela A Mazuca - NPI 1770582173
Maricela A Mazuca is a Medical in San Antonio, Texas. Maricela A Mazuca practices all healthcare services and medical treatments related to Medical. The NPI Number for Maricela A Mazuca is 1770582173. The last update date is 2020-01-15.
Maricela A Mazuca's current location address is 1202 E. Sonterra Blvd Suite 102, San Antonio, Texas. You can contact this provider via phone number 2103055075 and fax number 8307305082. The mailing address for Maricela A Mazuca is 1202 E. Sonterra Blvd Suite 102, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maricela A Mazuca |
|---|---|
| Address | 1202 E. Sonterra Blvd Suite 102, San Antonio, Texas |
| Phone Number | 2103055075 |
| Fax Number | 8307305082 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1770582173 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2020-01-15 |
Provider Mailing Address Detail
| Address | 1202 E. Sonterra Blvd Suite 102 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 78258 |
| Phone Number | 2103055075 |
| Fax Number | 8307305082 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA03610 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8N4388 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Maricela A Mazuca by the Centers for Medicare & Medicaid Services?
The Maricela A Mazuca has been assigned the NPI (National Provider Identifier) 1770582173 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Maricela A Mazuca is located?
The Maricela A Mazuca is situated at the following address: 1202 E. Sonterra Blvd Suite 102, San Antonio, TX, 78258.
What is the Maricela A Mazuca's specialty and taxonomy code?
The Maricela A Mazuca's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Maricela A Mazuca receive its 1770582173?
The Maricela A Mazuca was issued its 1770582173 on 2005-07-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Maricela A Mazuca last refreshed?
The information related to the Maricela A Mazuca, including its address, specialty, and other relevant details, was last updated on 2020-01-15.