Individual
DR. PAUL BERNALES RAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13890 BRADDOCK RD STE 206, CENTREVILLE, VA 20121-2437
(703) 758-2664
(703) 758-2668
Mailing address
13890 BRADDOCK RD STE 206, CENTREVILLE, VA 20121-2437
(703) 758-2664
(703) 758-2668
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
101236579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010126398
—
VA
01
—
143499
ANTHEM
VA
01
—
2126752
MAMSI
—
01
—
2444797
UNITED HEALTHCARE
—
01
—
3504177
AETNA HMO
—
01
—
7220577
AETNA
—
01
—
7755237
CIGNA
—
01
—
F0000004
CAREFIRST BCBS DC/MD
—
Enumeration date
05/28/2006
Last updated
04/12/2024
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