Provider Demographics
NPI:1316948086
Name:POLICARPIO, CRISTINIA NATALIA PEREZ (MD)
Entity type:Individual
Prefix:DR
First Name:CRISTINIA NATALIA
Middle Name:PEREZ
Last Name:POLICARPIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 SCARLET OAK DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5656
Mailing Address - Country:US
Mailing Address - Phone:703-330-0734
Mailing Address - Fax:
Practice Address - Street 1:9410 SCARLET OAK DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5656
Practice Address - Country:US
Practice Address - Phone:703-330-0734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine