Provider Demographics
NPI:1205834975
Name:FRANCISCO, REYNALDO MOLINA (MD)
Entity Type:Individual
Prefix:DR
First Name:REYNALDO
Middle Name:MOLINA
Last Name:FRANCISCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:REY
Other - Middle Name:MOLINA
Other - Last Name:FRANCISCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5265 PROVIDENCE RD
Mailing Address - Street 2:STE 505
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4206
Mailing Address - Country:US
Mailing Address - Phone:757-495-9525
Mailing Address - Fax:757-495-8910
Practice Address - Street 1:5265 PROVIDENCE RD
Practice Address - Street 2:STE 505
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4206
Practice Address - Country:US
Practice Address - Phone:757-495-9525
Practice Address - Fax:757-495-8910
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA0101028226207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
411866OtherALLIANCE
VA6314953Medicaid
023172OtherHMO HEALTHKEEPERS TLC
09859OtherEMPIRE BCBS
40342OtherNYL CARE
023172OtherTRIGON HEALTHKEEPERS
15393OtherSENTARA
6314953OtherCHARTERED HEALTH
ZD5243OtherBCBS OF MASS.
023172OtherHMO HEALTHKEEPERS VA
15393OtherOPTIMA
023172OtherBCBS
4004637OtherAETNA
411866OtherOPTIMUM CHOICE
0800236OtherUNITED HEALTH CARE
15393OtherSENTARA