Individual
MS. MARIA DE LOURDES PORTELA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 745-4300
Mailing address
3538 10TH ST NW, WASHINGTON, DC 20010-1402
(787) 238-4692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DC MD042674
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2010
Last updated
02/21/2017
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