Healthcare Provider Details

I. General information

NPI: 1457536328
Provider Name (Legal Business Name): MARIA S. RAYAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 10/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 MEDICAL DR
SAN ANTONIO TX
78229-4402
US

IV. Provider business mailing address

7703 FLOYD CURL DR MC7806
SAN ANTONIO TX
78229-3900
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-2015
  • Fax:
Mailing address:
  • Phone: 210-567-5283
  • Fax: 210-567-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberN6606
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: