Aviles, Sandra R
Aviles, Sandra R is an individual health care provider with primary practice located at 520 Madison Oak Dr , San Antonio TX 78258-3913. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Aviles, Sandra R can be contacted via phone (210) 297-9640.Contact Information
Primary practice address
520 Madison Oak Dr
San Antonio TX 78258-3913
Phone: (210) 297-9640
Fax: (210) 297-9640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 32201 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32201 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 036-095275 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | L0978 | Texas |
Profile Details
| NPI number | 1033182977 |
|---|---|
| LBN Legal business name | Aviles, Sandra R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | May 19th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033182977 | NPPES |
| Arizona | MEDICAID | 832164 | |
| Arizona | MEDICAID | 832164-06 | |
| Arizona | MEDICAID | 036095275 |
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