Healthcare Provider Details

I. General information

NPI: 1932323227
Provider Name (Legal Business Name): ANGELES ARANDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 11/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5954 CATALINA SUNRISE DR
SAN ANTONIO TX
78244-3230
US

IV. Provider business mailing address

5954 CATALINA SUNRISE DR
SAN ANTONIO TX
78244-3230
US

V. Phone/Fax

Practice location:
  • Phone: 210-662-8122
  • Fax:
Mailing address:
  • Phone: 210-662-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: