Provider Demographics
NPI:1003494097
Name:HOYOS, PAULA ANDREA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:ANDREA
Last Name:HOYOS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VIA APUESTO
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-7011
Mailing Address - Country:US
Mailing Address - Phone:954-873-6428
Mailing Address - Fax:
Practice Address - Street 1:1 VIA APUESTO
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-7011
Practice Address - Country:US
Practice Address - Phone:954-873-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical