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NPI Code Detail

MEDICARE: RONALDO MARTIN PICHARDO GONZALEZ M.D

MEDICARE:   RONALDO MARTIN PICHARDO GONZALEZ  M.D
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316874126
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALDO MARTIN PICHARDO GONZALEZ M.D
Provider Business Mailing Address
First Line : 2150 PENNSYLVANIA AVENUE, NW THE GW MEDICAL FACULTY ASS
Second Line :
City : WASHINGTON
State : DC
Zip : 20037
Country : US
Telephone Number : 202-384-5843
Fax Number :
Provider Business Practice Location Address
First Line : 2150 PENNSYLVANIA AVENUE, NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20037
Country : US
Telephone Number : 202-741-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ RONALDO MARTIN PICHARDO GONZALEZ M.D” Practice Location

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