Provider Demographics
NPI:1962531418
Name:BORGES, ALBERTO ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:ANDRES
Last Name:BORGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10802 WINDCLOUD CT
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1829
Mailing Address - Country:US
Mailing Address - Phone:703-509-0935
Mailing Address - Fax:703-522-1598
Practice Address - Street 1:10802 WINDCLOUD CT
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-1829
Practice Address - Country:US
Practice Address - Phone:703-509-0935
Practice Address - Fax:703-281-4458
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101040132207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6030807Medicaid
VAB0129346Medicare ID - Type UnspecifiedMEDICARE NUMBER
VAC87830Medicare UPIN