Individual
MR. EFIGENIO PERALTA PINERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
44955 BOURNE TER, ASHBURN, VA 20147-2763
(703) 622-2864
Mailing address
44955 BOURNE TER, ASHBURN, VA 20147-2763
(703) 622-2864
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
0024198163
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0024198163
VA
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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