Jose Gustavo Espino, is a
Specialist/technologist, Other - Surgical Assistant based in Alexandria, Virginia. Jose Gustavo Espino is licensed to practice in District Of Columbia (license number SA0191) and his current practice location is
6866 Deer Run Dr, Alexandria, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 307-8999.
NPI number for Jose Gustavo Espino is 1417301607 and his current mailing address is 6866 Deer Run Dr, Alexandria, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417301607.
Provider's Profile
| Full Name | Jose Gustavo Espino |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist, Other - Surgical Assistant |
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| Location | 6866 Deer Run Dr, Alexandria, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417301607
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 04/14/2017
Medical Identifiers
Medical identifiers for Jose Gustavo Espino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417301607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (Maryland) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | SA0191 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose Gustavo Espino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jose Gustavo Espino,
6866 Deer Run Dr,
Alexandria, VA 22306-1124
Ph: (703) 307-8999 | Jose Gustavo Espino,
6866 Deer Run Dr,
Alexandria, VA 22306-1124
Ph: (703) 307-8999 |
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