Active NPI
Socorrito Louise Baez-Page, MD
- General Practice Physician
- Alexandria, VA
National Provider Identifier
1194241190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101037568
- Practice address
- 6204 Vengo CT
Alexandria, VA 22312-1242 - Phone
- (703) 941-1321
- Fax
- (703) 941-8291
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037568 | VA | MD | General Practice Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101037568 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6204 Vengo CT
Alexandria, VA 22312-1242
Mailing address
6204 Vengo CT
Alexandria, VA 22312-1242
Phone (703) 568-8555
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101037568 | Other | VA | VIRGINIA LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2017.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1194241190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 VENGO CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121242",
"telephone_number": "703-568-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 VENGO CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121242",
"telephone_number": "703-941-1321",
"fax_number": "703-941-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ-PAGE",
"first_name": "SOCORRITO",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101037568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "0101037568",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.