Healthcare Provider Details
I. General information
NPI: 1609412766
Provider Name (Legal Business Name): MARIA C SANCHEZ VALENZUELA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/25/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1215 LEE ST
CHARLOTTESVILLE VA
22908-2545
US
IV. Provider business mailing address
2713 S 74TH ST STE 204
FORT SMITH AR
72903-5171
US
V. Phone/Fax
- Phone: 434-924-1825
- Fax: 434-244-9456
- Phone: 479-274-3600
- Fax: 479-274-3619
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 0116037639 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: