Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | D0061299 | MD |
NPI | 1033281910 |
---|---|
Provider Name | Dr. Anna Maria Izquierdo-Porrera |
First Address | Silver Spring, MD 20904-6218 |
Second Address | Silver Spring, MD 20904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 03/07/2018 |