Raphael F. Guanzon, M.D., PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101026720 Issued in VA

Legal business name

RAPHAEL F. GUANZON, M.D., PLLC

Practice address

704 London St
Suite a
Portsmouth, VA 23704-2413

Phone

(757) 399-0513

Fax

(757) 465-0785

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Fajardo Guanzon, M.D.NPI 1184732992

Title

Owner

Phone

(757) 399-0513

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raphael Fajardo Guanzon, M.D.

  • General Practice Physician
  • Portsmouth, VA
  • NPI 1184732992
  NPD (past) Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1871897058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LONDON ST",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042413",
            "telephone_number": "757-399-0513",
            "fax_number": "757-465-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LONDON ST",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042413",
            "telephone_number": "757-399-0513",
            "fax_number": "757-465-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL F. GUANZON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GUANZON",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "FAJARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-399-0513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101026720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "003121",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Lynette Ramsey, OD
• Craig Randall, M.D.
• Brittny Randolph, MD
• Mayura Jayant Rane
• Shellie Lindbergh Rankin Jr.
• Rapid Response Occupational Medicine & Urgent Care
• Leonard A Rappaport, MD
• Wendy Rasmussen
• Adam Dillon Ratcliff, MD
• Aileen Arcilla Rathgeber, RN

• General Practice Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.