Healthcare Provider Details

I. General information

NPI: 1306158381
Provider Name (Legal Business Name): JOAQUIN TOSI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 LITTLE NECK RD STE 202
VIRGINIA BEACH VA
23452-5764
US

IV. Provider business mailing address

397 LITTLE NECK RD STE 202
VIRGINIA BEACH VA
23452-5764
US

V. Phone/Fax

Practice location:
  • Phone: 757-227-4300
  • Fax: 757-486-3125
Mailing address:
  • Phone: 757-227-4300
  • Fax: 757-486-3125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number4301097034
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number4301097034
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number0101285734
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number#MD2016-0138
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD2016-0138
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: