Provider Demographics
NPI:1134788573
Name:CHAVEZ-MARROQUIN, ERIKA ELIZABETH
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:CHAVEZ-MARROQUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:ELIZABETH
Other - Last Name:MARROQUIN ACEVEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 E UINTAH ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2514
Mailing Address - Country:US
Mailing Address - Phone:760-977-8149
Mailing Address - Fax:
Practice Address - Street 1:1950 S. SUNWEST LANE
Practice Address - Street 2:1950 S. SUNWEST LANE SUITE 200
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408
Practice Address - Country:US
Practice Address - Phone:760-977-8149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program