MEDICARE: ROLANDO ALFREDO DEL AGUILA SUAREZ FNP, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024192457	VA

General Provider Information

NPI Number	:	1184437154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLANDO ALFREDO DEL AGUILA SUAREZ FNP, PHD

Provider Business Mailing Address
First Line	:	3419 NORWAY PL
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23509-1299
Country	:	US
Telephone Number	:	252-543-9809
Fax Number	:	757-484-3810

Provider Business Practice Location Address
First Line	:	3419 NORWAY PL
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23509-1299
Country	:	US
Telephone Number	:	252-543-9809
Fax Number	:	757-484-3810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	05/16/2026

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