Healthcare Provider Details

I. General information

NPI: 1609511641
Provider Name (Legal Business Name): MARIA GEMA DECAIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW FL PHC7
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL 3800 RESERVOIR RD NW. DEPT OF NEUROLOGY
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-256-7639
  • Fax:
Mailing address:
  • Phone: 202-444-1037
  • Fax: 202-444-2813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25054
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: