Healthcare Provider Details

I. General information

NPI: 1831159375
Provider Name (Legal Business Name): PABLO DAVID PIZARRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH VA
23708-2111
US

IV. Provider business mailing address

2400 ADAIR CT
VIRGINIA BEACH VA
23456-7102
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-3178
  • Fax:
Mailing address:
  • Phone: 757-471-5837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberC50492
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number8312
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: