Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 51575 | ZZ |
N | 208600000X | Surgeon | 51575 | ZZ |
Y | 208800000X | Urologist | D0081617 | MD |
NPI | 1053693242 |
---|---|
Provider Name | Vladimir A Valera Romero |
First Address | Bethesda, MD 20892-1107 |
Second Address | Bethesda, MD 20892-1107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2011 |
Last Update Date | 09/09/2021 |