Individual
ILIANA L CARDONA ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4458 MEDICAL DR STE 205, SAN ANTONIO, TX 78229-3748
(210) 614-1515
(210) 615-6904
Mailing address
16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232-2679
(210) 614-1231
(210) 499-0811
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
P8651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337801001
—
TX
Enumeration date
08/24/2010
Last updated
10/07/2022
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