Provider Demographics
NPI:1144296971
Name:GONCALVES, ROSE-VALENTINE A (MD)
Entity type:Individual
Prefix:DR
First Name:ROSE-VALENTINE
Middle Name:A
Last Name:GONCALVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSE-VALENTINE
Other - Middle Name:
Other - Last Name:ANTOINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:US NAVAL HOSPITAL YOKOSUKA, JAPAN
Mailing Address - Street 2:PSC 475 BOX 1, CODE 034
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96350-1600
Mailing Address - Country:US
Mailing Address - Phone:0118146-816-5564
Mailing Address - Fax:0118146-816-8650
Practice Address - Street 1:PSC 475
Practice Address - Street 2:US NAVAL HOSPITAL YOKOSUKA, BOX 1, CODE 034
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96350-9998
Practice Address - Country:US
Practice Address - Phone:0118146-816-5564
Practice Address - Fax:0118146-816-8650
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101241668207P00000X
CAA92961208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice