Provider Demographics
NPI:1063547065
Name:ESPINEL, CARLOS HUGO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:HUGO
Last Name:ESPINEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1715 N GEORGE MASON DRIVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205
Mailing Address - Country:US
Mailing Address - Phone:703-522-6908
Mailing Address - Fax:703-522-6918
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 401
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-522-6908
Practice Address - Fax:703-522-6918
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2008-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101024326207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA021397OtherANTHEM
VA5421OtherBCBS
VA6148972Medicaid
B94561Medicare UPIN
VA408918Medicare PIN