DR. 04GLORIA VILLANUEVA DE LA CRUZ M.D. NPI 1811956204

NPI Information

NPI: 1811956204
Provider Name: DR. 04GLORIA VILLANUEVA DE LA CRUZ, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
500 RODMAN AVE
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 399-6192
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DR. 04gloria Villanueva De La Cruz, M.D. is a pediatrics in Portsmouth, VA. The provider is 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. DR. 04gloria Villanueva De La Cruz, M.D. NPI is 1811956204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 RODMAN AVE
PORTSMOUTH, VA
ZIP 23707-100
Phone: (757) 399-6192
Fax: (757) 393-2124

The enumeration date for this NPI number is 3/22/2006 and was last updated on 7/9/2007.

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
1	208000000X	Pediatrics		0101025660	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6715770	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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