Provider Demographics
NPI:1780777458
Name:ESCOBAR-BOWLES, MILAGRO CARMEN (MD)
Entity type:Individual
Prefix:DR
First Name:MILAGRO
Middle Name:CARMEN
Last Name:ESCOBAR-BOWLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:220 GIRARD ST # 100
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3467
Mailing Address - Country:US
Mailing Address - Phone:301-216-0880
Mailing Address - Fax:301-216-2895
Practice Address - Street 1:220 GIRARD ST STE 100
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3467
Practice Address - Country:US
Practice Address - Phone:301-216-0880
Practice Address - Fax:301-216-2891
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0056980207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G80697Medicare UPIN