Individual provider · Type 1 NPI

Nelson Martinez Merizalde Balarezo, MD

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1518710102 Active · reactivated Jan 27, 2025

Practice location

110 Irving St. NW, Dept Of Internal Medicine
Washington, DC 20010

Call (202) 877-8271 Map

Fax (202) 877-6292

Mailing address

264 Ramirez Pena Avenue
Lima, LIMA 15101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1518710102

Nelson Martinez Merizalde Balarezo, MD's National Provider Identifier is 1518710102, issued on Apr 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Jan 27, 2025.