Provider Demographics
NPI:1013438605
Name:ALONSO, MARIA ELENA (RPH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:ALONSO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8547 QUAIL WOOD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-6515
Mailing Address - Country:US
Mailing Address - Phone:210-573-4806
Mailing Address - Fax:
Practice Address - Street 1:818 E GRAYSON ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78208-1013
Practice Address - Country:US
Practice Address - Phone:210-267-9674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist