Provider Demographics
NPI:1063278679
Name:FLORES, SONIA ARANDA
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:ARANDA
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 HICKORY GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-1733
Mailing Address - Country:US
Mailing Address - Phone:210-334-5935
Mailing Address - Fax:
Practice Address - Street 1:4110 SUNSTONE DR
Practice Address - Street 2:
Practice Address - City:VON ORMY
Practice Address - State:TX
Practice Address - Zip Code:78073
Practice Address - Country:US
Practice Address - Phone:210-334-5935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X, 310400000X, 253Z00000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities