Provider Demographics
NPI:1215823554
Name:ELIZONDO DE LA FUENTE, ERIKA PAOLA
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:PAOLA
Last Name:ELIZONDO DE LA FUENTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 EL JARDIN
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7494
Mailing Address - Country:US
Mailing Address - Phone:956-627-8357
Mailing Address - Fax:
Practice Address - Street 1:3402 EL JARDIN
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-7494
Practice Address - Country:US
Practice Address - Phone:956-627-8357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter