Provider Demographics
NPI:1265704514
Name:PFAFFENBERGER, MARTA ARIEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARTA
Middle Name:ARIEL
Last Name:PFAFFENBERGER
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 1:3301 NE 5TH AVE APT 1107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4027
Mailing Address - Country:US
Mailing Address - Phone:305-773-9267
Mailing Address - Fax:
Practice Address - Street 1:3301 NE 5TH AVE APT 1107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4027
Practice Address - Country:US
Practice Address - Phone:305-773-9267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0044945207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine