MEDICARE: MARIA E JUANPERE M.D., M.S., F.A.A.P.

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	208D00000X	General Practice Physician	0101054750	VA
2	208000000X	Pediatrics Physician	0101054750	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598730475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA E JUANPERE M.D., M.S., F.A.A.P.

Provider Business Mailing Address
First Line	:	44355 PREMIER PLZ STE 220
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-5050
Country	:	US
Telephone Number	:	202-306-2821
Fax Number	:

Provider Business Practice Location Address
First Line	:	493 BLACKWELL RD
Second Line	:	SUITE 101
City	:	WARRENTON
State	:	VA
Zip	:	20186-2639
Country	:	US
Telephone Number	:	540-347-9900
Fax Number	:	540-349-0920

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	10/08/2024

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