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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033182977 NPPES
Arizona MEDICAID 832164
Arizona MEDICAID 832164-06
Arizona MEDICAID 036095275

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