OrganizationPortsmouth Pediatrics, PcPediatricsAllopathic & Osteopathic PhysiciansPractice Address446 Effingham St., Ste 302, Portsmouth, VA 23704(757) 673-6277PECOS EnrollmentBased on the most recent information from CMS, provider Portsmouth Pediatrics, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1295044774Provider TypeOrganizationFull NamePortsmouth Pediatrics, PcSubpartNoEnumeration Date9/30/2010Last Updated5/22/2013Contact InformationPractice LocationPractice Address446 Effingham St., Ste 302, Portsmouth, VA 23704Phone(757) 673-6277Fax(757) 673-6411Mailing LocationMailing Address446 Effingham St., Ste. 302, Portsmouth, VA 23704Phone(757) 673-6277Fax(757) 673-6411Authorized OfficialNameDelacruz, Maria A. (Office Manager)Phone(757) 673-6277Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1295044774DescriptionMedicaidIssuerUnlistedVirginia