Provider Demographics
NPI:1376672188
Name:GAMEZ, JESUS ALBERTO II (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:ALBERTO
Last Name:GAMEZ
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 OLIVE BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4973
Mailing Address - Country:US
Mailing Address - Phone:301-919-0112
Mailing Address - Fax:
Practice Address - Street 1:11141 GEORGIA AVE
Practice Address - Street 2:SUITE 508
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4637
Practice Address - Country:US
Practice Address - Phone:301-929-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028840207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine