04Gloria Villanueva De la Cruz, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101025660 Issued in VA

Practice address

500 Rodman Ave
Portsmouth, VA 23707-3100

Phone

(757) 399-6192

Fax

(757) 393-2124

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811956204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073100",
            "telephone_number": "757-399-6192",
            "fax_number": "757-393-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073100",
            "telephone_number": "757-399-6192",
            "fax_number": "757-393-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "04GLORIA",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101025660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6715770",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Day, CRNA
• William Grant Day, M.D.
• Beth Michelle Days, RPH
• DB Leak Inc
• Erwin De Guia
• Ana Laura De la Paz Martinez
• Bradley Keith Deafenbaugh, M.D.
• Shannon Deal, COTA/L
• Brenda Denise Dean, NURSE PRACTITIONER
• Daniel Joseph Dean Jr., D.O.

• Pediatrics Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.