Individual
IVONNE ESPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-6279
Mailing address
PO BOX 417454, BOSTON, MA 02241-7454
(703) 558-1544
(703) 558-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD21012
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043173602
—
TX
01
—
742219442
TAX ID
TX
Enumeration date
10/03/2006
Last updated
01/15/2020
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