Healthcare Provider Details

I. General information

NPI: 1437242567
Provider Name (Legal Business Name): HERBERT M JUARBE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 W DIAMOND AVE SUITE 310
GAITHERSBURG MD
20878-1415
US

IV. Provider business mailing address

806 W DIAMOND AVE SUITE 310
GAITHERSBURG MD
20878-1415
US

V. Phone/Fax

Practice location:
  • Phone: 301-977-0056
  • Fax: 301-977-5151
Mailing address:
  • Phone: 301-977-0056
  • Fax: 301-977-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD0031720
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: