Provider Demographics
NPI:1083186217
Name:A1 SURGICAL SERVICES L.L.C.
Entity Type:Organization
Organization Name:A1 SURGICAL SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:GUSTAVO
Authorized Official - Last Name:ESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:703-307-8999
Mailing Address - Street 1:6529 BRICK HEARTH CT.
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306
Mailing Address - Country:US
Mailing Address - Phone:703-307-8999
Mailing Address - Fax:
Practice Address - Street 1:6710 OXON HILL RD #150
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20746
Practice Address - Country:US
Practice Address - Phone:240-766-2734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty