Healthcare Provider Details

I. General information

NPI: 1063278679
Provider Name (Legal Business Name): SONIA ARANDA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 SUNSTONE DR
VON ORMY TX
78073
US

IV. Provider business mailing address

7218 HICKORY GROVE DR
SAN ANTONIO TX
78227-1733
US

V. Phone/Fax

Practice location:
  • Phone: 210-334-5935
  • Fax:
Mailing address:
  • Phone: 210-334-5935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: