Provider Demographics
NPI:1376199703
Name:MARTINEZ, MARIA PILAR (MASTER)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:PILAR
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MASTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 ORDWAY ST NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5041
Mailing Address - Country:US
Mailing Address - Phone:202-751-1716
Mailing Address - Fax:
Practice Address - Street 1:2801 CALVERT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2666
Practice Address - Country:US
Practice Address - Phone:202-671-6130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool