Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D67580 | MD |
N | 111NI0900X | Internist | D67580 | MD |
N | 207R00000X | Internist | M3012 | TX |
N | 111NI0900X | Internist | M3012 | TX |
Y | 207RA0201X | Internist - Allergy & Immunology | D67580 | MD |
N | 207RA0201X | Internist - Allergy & Immunology | M3012 | TX |
N | 207RR0500X | Rheumatology | D67580 | MD |
N | 207RR0500X | Rheumatology | M3012 | TX |
NPI | 1679710131 |
---|---|
Provider Name | Barbara Martinez |
First Address | Bethesda, MD 20889-0001 |
Second Address | Bethesda, MD 20889-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2009 |
Last Update Date | 16/03/2012 |