Provider Demographics
NPI:1457362113
Name:POSADAS, MARIA S (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:S
Last Name:POSADAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MA. SOCORRO
Other - Middle Name:DINA F
Other - Last Name:BATOON POSADAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 31235
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-1235
Mailing Address - Country:US
Mailing Address - Phone:520-324-4100
Mailing Address - Fax:520-324-1406
Practice Address - Street 1:2380 N FERGUSON AVE STE 104
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2837
Practice Address - Country:US
Practice Address - Phone:520-324-1010
Practice Address - Fax:520-324-0029
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35890207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ141578OtherMEDICARE PTAN