Individual
DR. ROBERTO RAMOS CANIZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11131 JOURNAL PKWY, KING GEORGE, VA 22485-3468
(540) 625-2527
(540) 709-7211
Mailing address
11131 JOURNAL PKWY, KING GEORGE, VA 22485-3468
(540) 625-2527
(540) 709-7211
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101025116
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001368
ANTHEM BCBS
VA
01
—
4091663
AETNA
VA
01
—
501033
AETNA
VA
Enumeration date
09/20/2005
Last updated
11/08/2017
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