Individual
DR. MARIA A HORTILLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3513 CUMBERLAND AVE, MIDDLESBORO, KY 40965
(606) 248-5187
(606) 248-5823
Mailing address
3513 CUMBERLAND AVE, MIDDLESBORO, KY 40965
(606) 248-5187
(606) 248-5823
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20321
KY
207Q00000X
Family Medicine Physician
Primary
20321
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005630291
—
VA
05
—
21300
—
TN
05
—
64203219
—
KY
Enumeration date
06/25/2006
Last updated
05/15/2013
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