Individual
DR. MARIA R. DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 FAIRFAX AVE, 3RD FLOOR, NORFOLK, VA 23507-2007
(757) 446-5915
(757) 446-5969
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5915
(757) 446-5969
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101058948
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE/CHAMPUS
VA
05
—
006800564
—
VA
01
—
063X4
BC/BS
NC
01
—
10007081
SENTARA DAY REHAB
VA
01
—
285680
UHC/MAMSI
VA
01
—
29798
SENTARA OPTIMA
VA
01
—
382815
ANTHEM
VA
05
—
89063X4
—
NC
01
—
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
03/21/2006
Last updated
11/25/2009
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