Provider Demographics
NPI:1043089030
Name:PARRA SANABRIA, ERIKA ALEXANDRA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ALEXANDRA
Last Name:PARRA SANABRIA
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 1:1350 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2719
Mailing Address - Country:US
Mailing Address - Phone:518-669-2767
Mailing Address - Fax:
Practice Address - Street 1:1350 3RD AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2719
Practice Address - Country:US
Practice Address - Phone:518-669-2767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
1052401690OtherCOLOMBIAN IDENTITY NUMBER