Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUAN ILLESCA
Active Sole ProprietorJUAN ILLESCA is a Bus healthcare provider located in STERLING, Virginia. NPI 1447606991 is currently active in the NPPES registry. Verify at CMS.
Bus · STERLING, VA
Registration Details
- NPI Number
- 1447606991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2016 (10.252212487794 yrs)
- Last Updated
- May 13, 2016
- License
-
277 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22054 SHAW RDSTE HSTERLING, VA, 201649321Browse VA providers · Browse ZIP 20164
- Phone
- 5712689858
- Fax
- 5713131147
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in STERLING, VA
| Name | Credential | NPI |
|---|---|---|
| HIBA ALJUMAAH | — | 1215472709 |
| WILMER MALDONADO | — | 1881312692 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.