Provider Demographics
NPI:1396073888
Name:FONT DE ORLANDO, MARIA (BPHARM)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:FONT DE ORLANDO
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7423 STEEPLE BRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1606
Mailing Address - Country:US
Mailing Address - Phone:210-698-0630
Mailing Address - Fax:
Practice Address - Street 1:7423 STEEPLE BRK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-1606
Practice Address - Country:US
Practice Address - Phone:210-698-0630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX373911835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric