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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073517686 | NPPES |
| Mississippi | MEDICAID | 00737798 |
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