Provider Demographics
NPI:1457338972
Name:DOCE, MARIA T (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:T
Last Name:DOCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:411 10TH ST SE
Mailing Address - Street 2:STE 1400
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-2442
Mailing Address - Country:US
Mailing Address - Phone:319-365-8616
Mailing Address - Fax:319-297-7377
Practice Address - Street 1:411 10TH ST SE
Practice Address - Street 2:STE 1400
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-2442
Practice Address - Country:US
Practice Address - Phone:319-365-8616
Practice Address - Fax:319-297-7377
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2012-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA32422207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA3148155Medicaid
IA3148155Medicaid
G6054015060Medicare ID - Type Unspecified