Provider Demographics
NPI:1225236888
Name:CANTU, MARIA ELENA L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA ELENA
Middle Name:L
Last Name:CANTU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA ELENA
Other - Middle Name:L
Other - Last Name:CANTU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7469
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-0469
Mailing Address - Country:US
Mailing Address - Phone:210-348-5665
Mailing Address - Fax:
Practice Address - Street 1:2819 NW LOOP 410
Practice Address - Street 2:STE A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5105
Practice Address - Country:US
Practice Address - Phone:210-598-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine