DR. 04GLORIA VILLANUEVA DE LA CRUZ (NPI# 1811956204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811956204 |
Entity Type | Individual |
Full Name | DR. 04GLORIA VILLANUEVA DE LA CRUZ |
Credential | M.D. |
Practice Address |
500 Rodman Ave Portsmouth VA 23707-3100 |
Practice Telephone | 7573996192 |
Practice Fax Number | 7573932124 |
Mailing Telephone | 7573996192 |
Mailing Fax Number | 7573932124 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 0101025660 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6715770 | 05 |
Street Address |
500 RODMAN AVE |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707-3100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922432087 | Onevision Homecare LLC | Home Health | 500 Rodman Ave, Suite 3, Portsmouth, VA 23707-3100 | 2013-08-26 |
1326050915 | Gary Edward Taylor | Dentist | 500 Rodman Ave, Portsmouth, VA 23707-3100 | 2006-08-12 |
1295747988 | Glenwood Eugene Morris | Dentist | 500 Rodman Ave, Portsmouth, VA 23707-3100 | 2006-08-12 |
1871528331 | Drs Morris & Taylor Ltd | Dentist | 500 Rodman Ave, Suite 6, Portsmouth, VA 23707 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
Find all providers in zip 23707 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134685050 | Tidewater Pediatrics, P.C. | Pediatrics | 301 Goode Way Ste 203, Portsmouth, VA 23704-2266 | 2019-02-15 |
1164683967 | Kathlyn Valleau Wilde | Pediatrics | 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 | 2008-06-24 |
1437235421 | Perla Jamias Soloria | Pediatrics | 3701 South St, Portsmouth, VA 23707-3121 | 2006-10-31 |
1265523310 | Portsmouth Pediatrics | Pediatrics | 1985 E Main Rd, Portsmouth, RI 02871-1225 | 2006-09-27 |
1508884503 | John R Radford | Pediatrics | 1611 27th St Ste 101, Portsmouth, OH 45662-6932 | 2006-07-17 |
1679529424 | Kevin Hodges | Pediatrics | 200 Griffin Rd, Suite 15, Portsmouth, NH 03801-7145 | 2006-05-25 |
1225089196 | Rick David Murphy | Pediatrics | 1405 11th St, Portsmouth, OH 45662 | 2006-05-15 |
1205800489 | Lilliam I. Ortiz | Pediatrics | 23030 State Route 73, Portsmouth, OH 45663-8861 | 2006-02-15 |
1528039328 | Caleb John Podraza | Pediatrics | Naval Medical Center Department of Pediatrics, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2006-01-30 |
1437129202 | Olivia Y Alegre - Ipanag | Pediatrics | 446 Effingham St., Ste 302, Portsmouth, VA 23704-4818 | 2006-01-25 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23707 |
Please comment or provide details below to improve the information on DR. 04GLORIA VILLANUEVA DE LA CRUZ.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.