Provider Demographics
NPI:1558155432
Name:CUSI, ANNA CHRISTINA SOCOR VALLARTA (MD)
Entity type:Individual
Prefix:
First Name:ANNA CHRISTINA SOCOR
Middle Name:VALLARTA
Last Name:CUSI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14321 SW 33RD CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3768
Mailing Address - Country:US
Mailing Address - Phone:561-957-9480
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Practice Address - Street 2:4301 WEST MARKHAM, 512-33
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-364-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program