Healthcare Provider Details

I. General information

NPI: 1407896236
Provider Name (Legal Business Name): CELIAN VALERO-COLON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELIAN VALERO MD

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 REISTERSTOWN RD
PIKESVILLE MD
21208-1305
US

IV. Provider business mailing address

2900 SABRE ST STE 300
VIRGINIA BEACH VA
23452-7380
US

V. Phone/Fax

Practice location:
  • Phone: 757-222-0300
  • Fax:
Mailing address:
  • Phone: 757-222-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0063282
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0063282
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: