Provider Demographics
NPI:1740293778
Name:PARENTE, MARIA GABRIELA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:GABRIELA
Last Name:PARENTE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 E PALOMAR ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1800
Mailing Address - Country:US
Mailing Address - Phone:619-397-3295
Mailing Address - Fax:619-397-3381
Practice Address - Street 1:1400 E PALOMAR ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1800
Practice Address - Country:US
Practice Address - Phone:619-397-3295
Practice Address - Fax:619-397-3381
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG76212207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G762120Medicaid
CAF69879Medicare UPIN
CAWG76212AMedicare ID - Type Unspecified