Individual
JUANITA M VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD21897
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092
CAREFIRST BCBS
DC
01
—
01357
NCPPO
DC
05
—
022220900
—
DC
05
—
185400300
—
MD
01
—
200135
KAISER
DC
01
—
2605958
AETNA HMO
DC
01
—
441064
ANTHEM BCBS
VA
05
—
5705312
—
VA
01
—
7801057
AETNA NON HMO
DC
Enumeration date
07/15/2006
Last updated
01/13/2025
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