Provider Demographics
NPI:1538839386
Name:VILLAMIL SALCEDO, VALERIO (MD)
Entity type:Individual
Prefix:
First Name:VALERIO
Middle Name:
Last Name:VILLAMIL SALCEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VALERIO
Other - Middle Name:
Other - Last Name:VILLAMIL SALCEDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7710 BRANDON WAY
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-6244
Mailing Address - Country:US
Mailing Address - Phone:571-660-3362
Mailing Address - Fax:
Practice Address - Street 1:7710 BRANDON WAY
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-6244
Practice Address - Country:US
Practice Address - Phone:571-660-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health