Provider Demographics
NPI:1164426748
Name:CARDENAS, MARIA GUADALUPE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:GUADALUPE
Last Name:CARDENAS
Suffix:
Gender:F
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:PO BOX 360557
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6557
Mailing Address - Country:US
Mailing Address - Phone:915-444-5460
Mailing Address - Fax:915-225-3745
Practice Address - Street 1:8045 N LOOP DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-3227
Practice Address - Country:US
Practice Address - Phone:915-248-1793
Practice Address - Fax:915-225-3745
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2933207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000W8054Medicaid
TX104307708Medicaid
TX104307707Medicaid
TX104307707Medicaid
TX8L16357Medicare PIN
TXF43023Medicare UPIN
TX104307708Medicaid