Provider Demographics
NPI:1033229877
Name:VALARAO, PERFECTO CRUZ (MD)
Entity Type:Individual
Prefix:MR
First Name:PERFECTO
Middle Name:CRUZ
Last Name:VALARAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 HARFORD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047
Mailing Address - Country:US
Mailing Address - Phone:410-879-7100
Mailing Address - Fax:410-877-7222
Practice Address - Street 1:1716 HARFORD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047
Practice Address - Country:US
Practice Address - Phone:410-879-7100
Practice Address - Fax:410-877-7222
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0016389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD200201900Medicaid
BC/BS PC001OtherBCBS
BC/BS PC001OtherBCBS
B69815Medicare UPIN