Healthcare Provider Details
I. General information
NPI: 1548055486
Provider Name (Legal Business Name): ISABELLA DEL CARMEN AMADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/11/2025
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PO BOX 980257
RICHMOND VA
23298-0257
US
IV. Provider business mailing address
417 N 11TH ST
RICHMOND VA
23298-5024
US
V. Phone/Fax
- Phone: 804-828-9783
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 1548055486 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: