Healthcare Provider Details

I. General information

NPI: 1548433501
Provider Name (Legal Business Name): MARY-ROSE BELEN VALINA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 W PERIMETER RD JOINT BASE ANDREWS
JB ANDREWS MD
20762-6602
US

IV. Provider business mailing address

1060 W PERIMETER RD JOINT BASE ANDREWS
JB ANDREWS MD
20762-6602
US

V. Phone/Fax

Practice location:
  • Phone: 888-999-1212
  • Fax:
Mailing address:
  • Phone: 888-999-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101250035
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: