Healthcare Provider Details

I. General information

NPI: 1588856843
Provider Name (Legal Business Name): MARIA CHRISTINA SUNIO BUENAFLOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 AVENUE F
BOGALUSA LA
70427-3634
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 985-730-7001
  • Fax: 985-730-7006
Mailing address:
  • Phone: 225-526-0002
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD.204114
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: