| Jorge A. Naranjo, M.d., P.c. | |
|
18141 Woodland Park Dr Boykins VA 23827-0365 | |
| (757) 654-6545 | |
| (757) 654-6176 |
| Full Name | Jorge A. Naranjo, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 18141 Woodland Park Dr, Boykins, Virginia |
| Authorized Official Name and Position | Jorge A. Naranjo (PRESIDENT) |
| Authorized Official Contact | 7576546545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge A. Naranjo, M.d., P.c. Po Box 365 Boykins VA 23827-0365 Ph: (757) 654-6545 | Jorge A. Naranjo, M.d., P.c. 18141 Woodland Park Dr Boykins VA 23827-0365 Ph: (757) 654-6545 |
| NPI Number | 1932332665 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932332665 | NPI | - | NPPES |
| 1942304175 | Other | VA | NPI, INDIVIDUAL |
| 0000000323053 | Other | VA | VIRGINIA |
| 005614635 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101016682 (Virginia) | Primary |