| M Ruth Infante Md Pc | |
|
1500 N. Beauregard St, Suite 240 Alexandria VA 22311-1715 | |
| (703) 575-8101 | |
| (703) 575-8373 |
| Full Name | M Ruth Infante Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 N. Beauregard St,, Alexandria, Virginia |
| Authorized Official Name and Position | Mary Ruth Infante (OWNER) |
| Authorized Official Contact | 7035758101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Ruth Infante Md Pc 1500 N. Beauregard St, Suite 240 Alexandria VA 22311-1715 Ph: (703) 575-8101 | M Ruth Infante Md Pc 1500 N. Beauregard St, Suite 240 Alexandria VA 22311-1715 Ph: (703) 575-8101 |
| NPI Number | 1043615057 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 04/27/2015 |
| Medicare PECOS PAC ID | 6305163759 |
|---|---|
| Medicare Enrollment ID | O20150323001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043615057 | NPI | - | NPPES |
| 7101309 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101-046537 (Virginia) | Primary |
| Provider Name | Mary Ruth Infante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427092790 PECOS PAC ID: 0143354381 Enrollment ID: I20100929000103 |
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