Healthcare Provider Details

I. General information

NPI: 1912351743
Provider Name (Legal Business Name): JULIO ARTURO HUAPAYA CARRERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DRIVE ROOM 2C145 (CRITICAL CARE MEDICINE DEPARTMENT)
BETHESDA MD
20902-1662
US

IV. Provider business mailing address

10 CENTER DRIVE ROOM 2C145 (CRITICAL CARE MEDICINE DEPARTMENT)
BETHESDA MD
20902-1662
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-9320
  • Fax: 301-402-1213
Mailing address:
  • Phone: 301-496-9320
  • Fax: 301-402-1213

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 Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD93352
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: