Healthcare Provider Details

I. General information

NPI: 1023754595
Provider Name (Legal Business Name): ADRIANA DE LA FLOR LLONA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010
US

IV. Provider business mailing address

111 MICHIGAN AVE NW WEST WING 3.5
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-3670
  • Fax: 202-476-4341
Mailing address:
  • Phone: 202-476-3670
  • Fax: 202-476-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMTL600001545
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: