DR. ELLEN MARIE SAN BUENAVENTURA MD NPI 1083796098

NPI Information

DR. Ellen Marie San Buenaventura, MD is a pediatric emergency medicine emergency medicine in Tucson, AZ with 44 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. DR. Ellen Marie San Buenaventura, MD NPI is 1083796098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

5161 N STONEHOUSE PL
TUCSON, AZ
ZIP 85750-671
Phone: (520) 749-5889

The NPI 1083796098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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