Individual
LORETO P VIRTUDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3783 FETTLER PARK DR, DUMFRIES, VA 22025-1946
(703) 441-1276
(703) 441-0097
Mailing address
3783 FETTLER PARK DR, DUMFRIES, VA 22025-1946
(703) 441-1276
(703) 441-0097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101045677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090227
ANTHEM HEALTHKEEPER
—
01
—
1021764
CIGNA
—
01
—
10719011
UNITED HEALTHCARE
—
01
—
1383508
FIRST HEALTH
—
01
—
210772
BCBS
VA
01
—
210772
ANTHEM BCBS
—
01
—
299294
GREATWEST
—
01
—
474704
AETNA
VA
05
—
607666
—
VA
01
—
817893
ALLIANCE
—
01
—
A0660001
CAREFIRST BCBS
—
Enumeration date
08/07/2006
Last updated
05/05/2008
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