Rodrigo C Hurtado
Allergist & Immunologist
3450 N Beauregard St Ste 1
Alexandria
, Virginia 22302-1200
Rodrigo C Hurtado
Allergist & Immunologist
3450 N Beauregard St Ste 1
Alexandria
, Virginia 22302-1200
(703) 931-0059
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Rodrigo C Hurtado
- 3450 N Beauregard St Ste 1
- Alexandria, VA
- Zip : 22302-1200
- Fax : (703) 931-0059
- Phone : (703) 820-7000
Second Address
- Rodrigo C Hurtado
- 3450 N Beauregard St Ste 1
- Alexandria, VA
- Zip : 22302-1200
- Fax : (703) 931-0059
- Phone : (703) 820-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 0101023928 | VA |
National Provider Identifier
| NPI | 1134122161 |
|---|---|
| Provider Name | Rodrigo C Hurtado |
| First Address | Alexandria, VA 22302-1200 |
| Second Address | Alexandria, VA 22302-1200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004 | B/C B/S INDIVIDUAL # (01) | VA |
| 036036 | ANTHEM (01) | VA |
| 2156 | B/C B/S GROUP # (01) | VA |
| 246822 | MAMSI (01) | VA |
| 4086177 | AETNA (01) | VA |
| B93232 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.