MEDICARE: DR. ROSE-VALENTINE A GONCALVES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	0101241668	VA
2	208D00000X	General Practice Physician	A92961	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144296971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSE-VALENTINE A GONCALVES MD

Provider Business Mailing Address
First Line	:	US NAVAL HOSPITAL YOKOSUKA, JAPAN
Second Line	:	PSC 475 BOX 1, CODE 034
City	:	FPO
State	:	AP
Zip	:	96350-1600
Country	:	US
Telephone Number	:	01181468165564
Fax Number	:	01181468168650

Provider Business Practice Location Address
First Line	:	PSC 475
Second Line	:	US NAVAL HOSPITAL YOKOSUKA, BOX 1, CODE 034
City	:	FPO
State	:	AP
Zip	:	96350-9998
Country	:	US
Telephone Number	:	01181468165564
Fax Number	:	01181468168650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	08/16/2011

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