Provider Demographics
NPI:1982932703
Name:AMERICA, VIRGILIO ALAN PARIL JR (IDC)
Entity Type:Individual
Prefix:
First Name:VIRGILIO ALAN
Middle Name:PARIL
Last Name:AMERICA
Suffix:JR
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USS STETHEM DDG 63
Mailing Address - Street 2:MEDICAL DEPARTMENT
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96678-1281
Mailing Address - Country:US
Mailing Address - Phone:011814-816-3028
Mailing Address - Fax:
Practice Address - Street 1:USS STETHEM DDG 63
Practice Address - Street 2:MEDICAL DEPARTMENT
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96678-1281
Practice Address - Country:US
Practice Address - Phone:011814-816-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman