Organization Active NPI

Rene Llaneras & Guillermo Tremols PTR

  • Pediatrics Physician
  • Reston, VA
National Provider Identifier
1962434704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101020286 Issued in VA
Legal business name
RENE LLANERAS & GUILLERMO TREMOLS PTR
Practice address
1712 Clubhouse Road
Suite 101
Reston, VA 20190-4595
Phone
(703) 470-5770
Fax
(703) 471-5771
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Guillermo A Tremols, MD
Title
Partner
Phone
(703) 471-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0101020286 VA Primary

Addresses

Primary practice location

1712 Clubhouse Road
Suite 101
Reston, VA 20190-4595

Mailing address

1712 Clubhouse Road
Suite 101
Reston, VA 20190-4595
Phone (703) 470-5770

Other identifiers 1

IdentifierTypeStateIssuer
6720200MedicaidVA

Other names 1

  • Partnership Other name

National Provider Directory

National Provider Directory

Locations

1712 Clubhouse Rd
Ste 101
Reston, VA 20190
Phone (703) 470-5770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962434704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CLUBHOUSE ROAD",
            "address_2": "SUITE 101",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904595",
            "telephone_number": "703-470-5770",
            "fax_number": "703-471-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CLUBHOUSE ROAD",
            "address_2": "SUITE 101",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904595",
            "telephone_number": "703-470-5770",
            "fax_number": "703-471-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE LLANERAS & GUILLERMO TREMOLS PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREMOLS",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-471-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101020286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6720200",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partnership",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.