Individual provider · Type 1 NPI

Andrea Daniella Alfaro de Leon Mata

Specialist · Baltimore, MD

NPI number 1245173079 Active

Practice location

707 N Broadway
Baltimore, MD 21205-1832

Call (956) 483-5729 Map

Mailing address

1741 Ashland Ave Ste 642
Baltimore, MD 21205-1531

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245173079

Andrea Daniella Alfaro de Leon Mata's National Provider Identifier is 1245173079, issued on Apr 14, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 14, 2026.