Provider Demographics
NPI:1871555995
Name:ESPINEL, LEONARDO RAMON JR (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARDO
Middle Name:RAMON
Last Name:ESPINEL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:541 SUNSET LN STE 103
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3903
Practice Address - Country:US
Practice Address - Phone:540-829-4440
Practice Address - Fax:540-825-4026
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259360208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1871555995Medicaid
TNG46721Medicare UPIN
VAVVK527AMedicare PIN
VA1871555995Medicaid