Provider Demographics
NPI:1336114628
Name:MAGLAYA, FERNANDO BELARO (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:BELARO
Last Name:MAGLAYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FERNANDO
Other - Middle Name:MANOLO BELARO
Other - Last Name:MAGLAYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:816 INDEPENDENCE BLVD STE 2H
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6010
Mailing Address - Country:US
Mailing Address - Phone:757-363-6850
Mailing Address - Fax:757-822-6226
Practice Address - Street 1:816 INDEPENDENCE BLVD STE 2H
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6010
Practice Address - Country:US
Practice Address - Phone:757-363-6850
Practice Address - Fax:757-822-6226
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231005207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005860466Medicaid
G74251Medicare UPIN
290000277Medicare ID - Type Unspecified