Raphael Fajardo Guanzon in Portsmouth - General Practice
Raphael Fajardo Guanzon - NPI 1184732992
Raphael Fajardo Guanzon is a General Practice in Portsmouth, Virginia. Raphael Fajardo Guanzon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Raphael Fajardo Guanzon is 1184732992. The last update date is 2009-12-31.
Raphael Fajardo Guanzon's current location address is 704 London St # A, Portsmouth, Virginia. You can contact this provider via phone number 7573990513. The mailing address for Raphael Fajardo Guanzon is 704 London St # A, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raphael Fajardo Guanzon |
|---|---|
| Address | 704 London St # A, Portsmouth, Virginia |
| Phone Number | 7573990513 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184732992 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2009-12-31 |
Provider Mailing Address Detail
| Address | 704 London St # A |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237042413 |
| Phone Number | 7573990513 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 101026720 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5671213 | VA | -- | |
| 3121 | VA | ANTHEM |
Post Comment/ Review Below
What is the Raphael Fajardo Guanzon's 1184732992?
The Raphael Fajardo Guanzon's NPI (National Provider Identifier) Number is 1184732992. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Raphael Fajardo Guanzon is physically located?
The Raphael Fajardo Guanzon is physically situated at the following address: 704 London St # A, Portsmouth, VA, 237042413.
What is the Raphael Fajardo Guanzon's specialty and taxonomy code?
The Raphael Fajardo Guanzon's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did Raphael Fajardo Guanzon receive its 1184732992 assignment?
The Raphael Fajardo Guanzon was assigned its 1184732992 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Raphael Fajardo Guanzon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Raphael Fajardo Guanzon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-12-31.
NPI Number: 1699778829
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