Provider Demographics
NPI:1194837153
Name:GUINEA-MARTIN, ANA ISABEL (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ISABEL
Last Name:GUINEA-MARTIN
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 1:1001 HAMPTON FALL BLVD
Mailing Address - Street 2:APT 112
Mailing Address - City:BROWNSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35741-8002
Mailing Address - Country:US
Mailing Address - Phone:256-539-3014
Mailing Address - Fax:
Practice Address - Street 1:621 NORTH AVE NE
Practice Address - Street 2:C-30
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2857
Practice Address - Country:US
Practice Address - Phone:678-904-6820
Practice Address - Fax:678-904-6824
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0026097174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist