Provider Demographics
NPI:1619597549
Name:ESPARZA, MARTHA (MD, MPA)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:MD, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 D ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-1809
Mailing Address - Country:US
Mailing Address - Phone:623-252-2036
Mailing Address - Fax:
Practice Address - Street 1:127 D ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-1809
Practice Address - Country:US
Practice Address - Phone:623-252-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2024-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR77938207Q00000X
DC210012138207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine