Individual
RENATO R ESPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0003459
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001678530002
—
PA
01
—
001716849
MT. STATE BC BS
WV
05
—
0077675000
—
WV
05
—
192021900
—
MD
01
—
40290002
CAREFIRST BC BS
MD
01
—
408113085
TRAVELERS MEDICARE
MD
01
—
G362 0001
BLUE CHOICE
DC
Enumeration date
08/09/2005
Last updated
09/11/2007
Update your record
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