Individual provider Active NPI

Francisco S Deguzman, IDMT-P

  • Independent Duty Medical Technicians
  • Cannon AFB, NM
National Provider Identifier
1497999684
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
208 W Casablanca Ave BLDG 1400
27 Somdg - Osm
Cannon AFB, NM 88103-5009
Phone
(575) 784-0287
NPI assigned
May 1, 2009
Last updated
Nov 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

208 W Casablanca Ave BLDG 1400
27 Somdg - Osm
Cannon AFB, NM 88103-5009

Mailing address

208 W Casablanca Ave
27 Somdg BLDG 1400 - Osm
Cannon AFB, NM 88103-5009
Phone (575) 784-0287

Other names 1

  • Frank Deguzman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290729600000",
    "number": "1497999684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W CASABLANCA AVE",
            "address_2": "27 SOMDG BLDG 1400 - OSM",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035009",
            "telephone_number": "575-784-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CASABLANCA AVE BLDG 1400",
            "address_2": "27 SOMDG - OSM",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035009",
            "telephone_number": "575-784-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "FRANCISCO",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "IDMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2010-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "DEGUZMAN",
            "credential": "IDMT-P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cannon AFB, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.