Healthcare Provider Details

I. General information

NPI: 1700843190
Provider Name (Legal Business Name): RAUL E ARMENGOL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD
FALLS CHURCH VA
22042-3307
US

IV. Provider business mailing address

PO BOX 75567
BALTIMORE MD
21275-5567
US

V. Phone/Fax

Practice location:
  • Phone: 703-776-3111
  • Fax: 800-536-8431
Mailing address:
  • Phone: 888-898-3291
  • Fax: 800-536-8431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101042188
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME106196
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: