Provider Demographics
NPI:1083244677
Name:RIVERA DE MARTINEZ, ANA ROXANA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:ROXANA
Last Name:RIVERA DE MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 GAYLOR PL
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3879
Mailing Address - Country:US
Mailing Address - Phone:240-688-8685
Mailing Address - Fax:
Practice Address - Street 1:3103 GAYLOR PL
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3879
Practice Address - Country:US
Practice Address - Phone:240-688-8685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant