MEDICARE: JULIANA BUENDIA PA-C

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	363A00000X	Physician Assistant	0110006701	VA

General Provider Information

NPI Number	:	1316341753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANA BUENDIA PA-C

Provider Business Mailing Address
First Line	:	6355 WALKER LN STE 507
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3251
Country	:	US
Telephone Number	:	703-738-4332
Fax Number	:	703-971-4605

Provider Business Practice Location Address
First Line	:	6355 WALKER LN STE 507
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3251
Country	:	US
Telephone Number	:	703-738-4332
Fax Number	:	703-971-4605

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

Provider Enumeration Date	:	10/14/2014
Last Update Date	:	05/19/2026

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