Provider Demographics
NPI:1982842753
Name:HIBP MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:HIBP MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALBUENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-533-5560
Mailing Address - Street 1:6911 RICHMOND HWY
Mailing Address - Street 2:SUITE # 425
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1842
Mailing Address - Country:US
Mailing Address - Phone:703-417-9678
Mailing Address - Fax:703-310-4039
Practice Address - Street 1:6911 RICHMOND HWY
Practice Address - Street 2:SUITE # 425
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1842
Practice Address - Country:US
Practice Address - Phone:703-417-9678
Practice Address - Fax:703-310-4039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-01
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0841498261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service