| Doctor Name: | DR. ROBERTO RAMOS CANIZARES |
| NPI Number: | 1285629857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101025116 |
| Business Practice Address: | 11131 Journal Pkwy King George, VA - 224853468 |
| Business Phone Number: | 5406252527 |
| Business Fax Number: | 5407097211 |
| Mailing Address: | 11131 Journal Pkwy, KING GEORGE |
| State: | VA |
| Postal Code: | 224853468 |
| Phone Number: | 5406252527 |
| Fax Number: | 5407097211 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 03/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101025116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |