MEDICARE: DR. MARIA GUADALUPE CARDENAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	J2933	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164426748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA GUADALUPE CARDENAS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 360557
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-6557
Country	:	US
Telephone Number	:	915-444-5460
Fax Number	:	915-225-3745

Provider Business Practice Location Address
First Line	:	8045 N LOOP DR STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79915-3227
Country	:	US
Telephone Number	:	915-248-1793
Fax Number	:	915-225-3745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	02/16/2023

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Directions to “ DR. MARIA GUADALUPE CARDENAS M.D.” Practice Location

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