Provider Demographics
NPI:1427933340
Name:REALON, MARIA CORAZON (RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CORAZON
Last Name:REALON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 DHAKA VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-4630
Mailing Address - Country:US
Mailing Address - Phone:210-501-4932
Mailing Address - Fax:
Practice Address - Street 1:5711 DHAKA VW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-4630
Practice Address - Country:US
Practice Address - Phone:210-501-4932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX701211163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care