Reynalda M de Guzman LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1732 Issued in AK

Legal business name

REYNALDA M DE GUZMAN LLC

Practice address

4361 Boniface Pkwy
Anchorage, AK 99504-4316

Phone

(907) 333-1212

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Reynalda Deguzman

Title

Doctor

Phone

(907) 333-1212

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1629495262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 BONIFACE PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 BONIFACE PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044316",
            "telephone_number": "907-333-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDA M DE GUZMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "REYNALDA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "907-333-1212"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "1732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD 1732",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Reyes, APRN
• Jan Reyes
• Maria Regina L Reyes, MD
• Samantha Michelle Reyna-Gonzalez, WCC
• Kala Reyna
• Candace Reynolds
• Christopher Robert Reynolds, MS, LPC
• D'Coursey Reynolds
• Laronsia Reynolds
• Holly Reynoso

• Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.