Provider Demographics
NPI:1568119626
Name:DEBES, MARIA DE LA PAZ
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DE LA PAZ
Last Name:DEBES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:DEBES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MARIA DEBES
Mailing Address - Street 1:3130 E BASELINE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-7290
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-3825
Practice Address - Country:US
Practice Address - Phone:917-287-1959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine