Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | S1756 | TX |
NPI | 1104050764 |
---|---|
Provider Name | Mrs. Maria Fernanda Arbelaez |
First Address | San Antonio, TX 78255-2184 |
Second Address | San Antonio, TX 78229-3931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 16/08/2021 |