Healthcare Provider Details

I. General information

NPI: 1184452278
Provider Name (Legal Business Name): CAPITAL DIABETES & ENDOCRINE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL PARK DR STE 211
SILVER SPRING MD
20902-4053
US

IV. Provider business mailing address

5801 ALLENTOWN RD STE 500
CAMP SPRINGS MD
20746-4518
US

V. Phone/Fax

Practice location:
  • Phone: 301-899-7713
  • Fax:
Mailing address:
  • Phone: 301-899-7713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROMEU MANUEL AZEVEDO
Title or Position: PRESIDENT
Credential: MD
Phone: 301-899-7713