Provider Demographics
NPI:1679762488
Name:HECTOR ASUNCION MD., P.A.
Entity Type:Organization
Organization Name:HECTOR ASUNCION MD., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:CASTRO
Authorized Official - Last Name:ASUNCION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-972-6444
Mailing Address - Street 1:18730 LIBERTY MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-972-6444
Mailing Address - Fax:301-972-0938
Practice Address - Street 1:18730 LIBERTY MILL ROAD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-972-6444
Practice Address - Fax:301-972-0938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0000995207Q00000X, 207QA0000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Single Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD01380001OtherCARE FIRST
MD4070234574OtherMEDICARE FAIRFIELD
MD017511100Medicaid
MD173419Medicare UPIN