Provider Demographics
NPI:1336233881
Name:BELANDRES, PRAXEDES VILLACASTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:PRAXEDES
Middle Name:VILLACASTIN
Last Name:BELANDRES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11806 WANDERING OAK WAY
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1567
Mailing Address - Country:US
Mailing Address - Phone:301-937-2412
Mailing Address - Fax:202-782-4658
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER, 6900 GEORGIA AVE NW
Practice Address - Street 2:BLDG 41, SUITE 021
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-782-0411
Practice Address - Fax:202-782-4658
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA381742081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine