Provider Demographics
NPI:1033286372
Name:BALINAS, JOSE CARREON (PA)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:CARREON
Last Name:BALINAS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:12103 HUNTERS LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2245
Mailing Address - Country:US
Mailing Address - Phone:301-221-7687
Mailing Address - Fax:301-295-0326
Practice Address - Street 1:WALTER REED NATIONAL MILITARY MEDICAL CENTER, BLDG 7
Practice Address - Street 2:8901 WISCONSIN AVENUE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-319-3440
Practice Address - Fax:301-295-0326
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2024-04-18
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Provider Licenses
StateLicense IDTaxonomies
MDC0001738363A00000X, 2083X0100X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical