Fernando, Victoria De Guzman

Fernando, Victoria De Guzman is an individual health care provider with primary practice located at 2100 N Martin Luther King Jr Blvd Emergency Medicine Department, Clovis NM 88101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Fernando, Victoria De Guzman can be contacted via phone (601) 765-3180.

Contact Information

Primary practice address
2100 N Martin Luther King Jr Blvd Emergency Medicine Department Clovis NM 88101
Phone: (601) 765-3180
Fax: (601) 765-2808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD2010-0102 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18178 Mississippi

Profile Details

NPI number 1073517686
LBN Legal business name Fernando, Victoria De Guzman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073517686 NPPES
Mississippi MEDICAID 00737798

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