SOCORRITO LOUISE BAEZ-PAGE


Address: 6204 Vengo Ct, Alexandria, VA 22312-1242
Phone: 7039411321

SOCORRITO LOUISE BAEZ-PAGE (NPI# 1194241190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194241190
Entity Type Individual
Full Name SOCORRITO LOUISE BAEZ-PAGE
Credential MD
Practice Address 6204 Vengo Ct
Alexandria
VA 22312-1242
Practice Telephone 7039411321
Practice Fax Number 7039418291
Mailing Telephone 7035688555
Enumeration Date 2017-08-21
Last Update Date 2017-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 0101037568 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA VIRGINIA LICENSE 0101037568 01

Office Location

Street Address 6204 VENGO CT
City ALEXANDRIA
State VA
Zip Code 22312-1242

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1730582107 Prospect Homecare Agency Home Health 5568 General Washington Drive, Suite A 203, Alexandria, VA 22312 2014-09-30
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710495627 Mayfield Advanced Medical, LLC General Practice 5419 Jackson St Ext Ste B, Alexandria, LA 71303-2322 2018-01-12
1649703356 Mind-body Wellness, LLC General Practice 1213 Texas Ave, Alexandria, LA 71301-4838 2017-04-10
1740574920 Rodger Brent Cook General Practice 526 N Henry St, Alexandria, VA 22314-2233 2011-06-05
1801115589 Ama Medical Pllc General Practice 5501 Cherokee Ave, Suite 205, Alexandria, VA 22312-2305 2010-05-20
1699841148 Kazuko K Price Md Ltd General Practice 4701 Kenmore Avenue, Suite 118, Alexandria, VA 22304-1248 2006-11-27
1831288323 Robert Rush General Practice 108 Constitution Dr, Alexandria, LA 71303-3521 2006-10-12
1275633406 Anton N Kojouharov General Practice 979 E Lakewood Dr, Alexandria, IN 46001-8833 2006-09-25
1588767669 Farid A Zurmati General Practice 5960 Kingstowne Center Blvd, Suite 140, Alexandria, VA 22315 2006-09-06
1366467656 Injury Management Specialists General Practice 108 Constitution Blvd, Alexandria, LA 71303 2006-07-13
1427000504 Guido Rojas General Practice 5248 Dawes Ave, Alexandria, VA 22311 2006-05-16
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Competitor

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City ALEXANDRIA
Zip Code 22312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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