# DIABETES AND ENDOCRINE CARE OF VIRGINIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659890663
- **Authorized official:** ALEJANDRO SANTOS LEAL MD (OWNER)
- **Authorized official phone:** (312) 315-4293

## Contact information

- **Practice address:** 9001 DIGGES RD STE 101, MANASSAS, VA 20110-4414
- **Practice address phone:** (571) 363-3082
- **Practice address fax:** (571) 363-3024
- **Mailing address:** 9001 DIGGES RD STE 101, MANASSAS, VA 20110-4414
- **Mailing address phone:** (571) 363-3082
- **Mailing address fax:** (571) 363-3024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101263059 | VA | Yes |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 01/30/2019
