1902109895 NPI number — BAYVIEW PHYSICIAN SERVICES, PC

Table of content: MARIA MARGARITA CASTRO GONZALEZ MD (NPI 1376001966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902109895 NPI number — BAYVIEW PHYSICIAN SERVICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAYVIEW PHYSICIAN SERVICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902109895
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7068
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTSMOUTH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23707-0068
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-686-3508
Provider Business Mailing Address Fax Number:
757-686-0541

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1168 FIRST COLONIAL RD STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23454-2444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-481-0898
Provider Business Practice Location Address Fax Number:
757-481-2563
Provider Enumeration Date:
12/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
FORMAN
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
757-923-9604

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0103000798 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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