MR. ROBERTO NESTOR DEPETRIS LAC NPI 1619312295

NPI Information

  • NPI: 1619312295
  • Provider Name: MR. ROBERTO NESTOR DEPETRIS, LAC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 14300 GALLANT FOX LN
    BOWIE, MD
    ZIP 20715
  • Phone: (301) 520-7017

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NPI Details

MR. Roberto Nestor Depetris, LAC is an acupuncturist in Bowie, MD. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MR. Roberto Nestor Depetris, LAC NPI is 1619312295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14300 GALLANT FOX LN
BOWIE, MD
ZIP 20715-003
Phone: (301) 520-7017

The enumeration date for this NPI number is 5/8/2013 and was last updated on 5/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistU01746MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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