| Nueva Vita Llc | |
|
2415 Musgrove Rd Ste 302 Silver Spring MD 20904-5202 | |
| (301) 337-2295 | |
| (301) 804-1752 |
| Full Name | Nueva Vita Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2415 Musgrove Rd Ste 302, Silver Spring, Maryland |
| Authorized Official Name and Position | Maria A. Martin (MEDICAL DOCTOR) |
| Authorized Official Contact | 7036265230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nueva Vita Llc 2415 Musgrove Rd Ste 302 Silver Spring MD 20904-5202 Ph: (301) 337-2295 | Nueva Vita Llc 2415 Musgrove Rd Ste 302 Silver Spring MD 20904-5202 Ph: (301) 337-2295 |
| NPI Number | 1699341859 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 3971998071 |
|---|---|
| Medicare Enrollment ID | O20220407002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699341859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria A Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568634590 PECOS PAC ID: 2365587474 Enrollment ID: I20100301000456 |
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