Vicente Carreon Deguzman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0003025 Issued in MD

Practice address

11219 Potomac Crest Dr
Potomac, MD 20854-2743

Phone

(301) 299-6071

NPI assigned

Apr 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Vicente Carreon Deguzman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1548528441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 POTOMAC CREST DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542743",
            "telephone_number": "301-299-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 POTOMAC CREST DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542743",
            "telephone_number": "301-299-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "VICENTE",
        "middle_name": "CARREON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0003025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICENTE",
            "last_name": "DEGUZMAN",
            "middle_name": "CARREON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judith P. Davis, MSW, LICSW, DCSW
• Nyrese Shayrell Davis
• John De Leon
• Joseph A. Debenedictis, D.D.S
• Mahalia Debru
• Cecilia Del Rio, PSY.D.
• Dentistry for Children of Maryland 2 LLC
• Dentistry for Children of Maryland, LLC
• Diabetes Care and Wellness Management LLC
• Dietitian Alliance LLC

• Specialist in Potomac, MD
• Providers in Potomac, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.