Provider Demographics
NPI:1093167892
Name:PATINO, MARIA ANGELICA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANGELICA
Last Name:PATINO
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 1:1224 ALDER CIR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4593
Mailing Address - Country:US
Mailing Address - Phone:786-418-7116
Mailing Address - Fax:
Practice Address - Street 1:1224 ALDER CIR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4593
Practice Address - Country:US
Practice Address - Phone:786-418-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program