DR. 04GLORIA VILLANUEVA DE LA CRUZ


Address: 500 Rodman Ave, Portsmouth, VA 23707-3100
Phone: 7573996192

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 0101025660 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 6715770 05

Office Location

Street Address 500 RODMAN AVE
City PORTSMOUTH
State VA
Zip Code 23707-3100

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PORTSMOUTH
Zip Code 23707

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Dataset Information

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.

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