Provider Demographics
NPI:1982245684
Name:CARDOZA, MARIA CARMEN
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CARMEN
Last Name:CARDOZA
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 1:341 COOLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-7443
Mailing Address - Country:US
Mailing Address - Phone:915-667-4625
Mailing Address - Fax:
Practice Address - Street 1:341 COOLEY AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-7443
Practice Address - Country:US
Practice Address - Phone:915-667-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider