Healthcare Provider Details

I. General information

NPI: 1295916633
Provider Name (Legal Business Name): MARIA YOLANDA CIPRIANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YOLANDA CIPRIANI M.D.

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13314 VOELCKER RANCH DR
SAN ANTONIO TX
78231-2250
US

IV. Provider business mailing address

13314 VOELCKER RANCH DR
SAN ANTONIO TX
78231-2250
US

V. Phone/Fax

Practice location:
  • Phone: 210-493-1048
  • Fax: 210-493-1048
Mailing address:
  • Phone: 210-493-1048
  • Fax: 210-493-1048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number31811
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: