Healthcare Provider Details

I. General information

NPI: 1871555995
Provider Name (Legal Business Name): LEONARDO RAMON ESPINEL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 SUNSET LN STE 103
CULPEPER VA
22701-3903
US

IV. Provider business mailing address

PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US

V. Phone/Fax

Practice location:
  • Phone: 540-829-4440
  • Fax: 540-825-4026
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101259360
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: