Provider Demographics
NPI:1275160921
Name:ARIAS, SANDRA ISABEL (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ISABEL
Last Name:ARIAS
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 1:5550 N 12TH ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2307
Mailing Address - Country:US
Mailing Address - Phone:661-437-0335
Mailing Address - Fax:
Practice Address - Street 1:6525 W SACK DR STE 302
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7107
Practice Address - Country:US
Practice Address - Phone:623-561-7983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program