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Gabriela Maria Hernandez Villate

Radiology

Allopathic & Osteopathic Physicians

600 N Wolfe St, Baltimore, MD 21287-0005

PECOS Enrollment

This provider is enrolled in PECOS as GABRIELA HERNANDEZ VILLATE.

Based on the most recent information from CMS, provider Gabriela Maria Hernandez Villate is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1427588862
Provider Type
Individual
Full Name
Hernandez Villate, Gabriela Maria
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2017
Last Updated
5/10/2022

Contact Information

Practice Location

600 N Wolfe St, Baltimore, MD 21287-0005

(410) 955-5000

(787) 562-3932

Mailing Location

6201 Greenleigh Ave, Middle River, MD 21220-2004

(410) 933-6423

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License D93690 Maryland

Gabriela Maria Hernandez Villate

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Angle, Russell Hall

Yedavalli, Vivek Srikar

Desai, Neal

Yeganeh, Omid

Charkhchi, Paniz

Al-Ibraheemi, Ammar K.

Kuo, George P

Ladenson, Paul

Marathe, Prasanna

Kovacich, Joseph