Provider Demographics
NPI:1295849925
Name:JAVIER, ROSA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:MARIA
Last Name:JAVIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3241 WESTERN BRANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5260
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:5622 BENNETTS PASTURE RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1602
Practice Address - Country:US
Practice Address - Phone:757-484-3472
Practice Address - Fax:757-484-3408
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240120207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00352924OtherRR MEDICARE
VA10012105OtherSENTARA
VA010320453Medicaid
VA238460OtherANTHEM
VA541595397OtherTRICARE
VA8611215OtherCIGNA
VA7937827OtherAETNA
VA450189OtherSOUTHERN HEALTH
VA541595397OtherVIRGINIA HEALTH NETWORK
VAP00352924OtherRR MEDICARE
VA450189OtherSOUTHERN HEALTH