Provider Demographics
NPI:1841301132
Name:ALBIOL, LORETO SILVA (MD)
Entity type:Individual
Prefix:
First Name:LORETO
Middle Name:SILVA
Last Name:ALBIOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10215 FERNWOOD RD
Mailing Address - Street 2:SUITE -630
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1106
Mailing Address - Country:US
Mailing Address - Phone:301-652-4887
Mailing Address - Fax:301-652-5016
Practice Address - Street 1:10215 FERNWOOD RD
Practice Address - Street 2:SUITE-630
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1106
Practice Address - Country:US
Practice Address - Phone:301-652-4887
Practice Address - Fax:301-652-5016
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD031319207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD234951500Medicaid
MDD031319OtherMEDICAL PHYSICIAN SURGEON
MD234951500Medicaid
MDD031319OtherMEDICAL PHYSICIAN SURGEON