1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. General Practice
  6. NPI Profile

DR. RAPHAEL FAJARDO GUANZON M.D.
NPI 1184732992
General Practice in Portsmouth, VA

Active since August 29, 2006PECOS Enrolled
704 LONDON ST # A, PORTSMOUTH, VA 23704(757) 399-0513 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raphael Fajardo Guanzon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAPHAEL FAJARDO GUANZON M.D. (NPI 1184732992) is an individual general practice provider in Portsmouth, Virginia, licensed in Virginia (0101026720) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184732992
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RAPHAEL FAJARDO GUANZONCredential: M.D.
Location Address704 LONDON ST # APortsmouth, VA 23704-2413
Mailing Address704 London St # APortsmouth, VA 23704-2413 · (757) 399-0513
Phone(757) 399-0513
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 31, 2009
✔ NPI 1184732992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101026720
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
704 LONDON ST # A, Portsmouth, VA 23704
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Rafael Fajardo Guanzon M.d.

Other Identifiers 3

Other003121VA · Anthem
Medicaid005671213VA
Medicare PIN012936651VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raphael Fajardo Guanzon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raphael Guanzon's NPI number?

The NPI number for Raphael Guanzon is 1184732992. It was assigned to this individual provider in the NPPES registry on August 29, 2006. The provider is also known as Dr. Rafael Fajardo Guanzon M.D..

Where is Raphael Guanzon located?

Raphael Guanzon practices at 704 London St # A, Portsmouth, VA 23704. The listed phone number is (757) 399-0513.

What is Raphael Guanzon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Raphael Guanzon enrolled in Medicare?

Yes. Raphael Guanzon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raphael Guanzon was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.