Individual provider Active NPI

Socorrito Louise Baez-Page, MD

  • General Practice Physician
  • Alexandria, VA
National Provider Identifier
1194241190
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101037568 Issued in VA
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

LicenseStateTypeSpecialty
0101037568VAMDGeneral Practice Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101037568 VA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0101037568OtherVAVIRGINIA 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.

Verify at the official NPI Registry.