Juan J Guzman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36388 Issued in AZ

Practice address

1141 S la Canada Dr
Green Valley, AZ 85614-1945

Phone

(520) 694-3030

Fax

(520) 694-3055

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banner -- University Medical Center Tucson Campus LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1306908355
  NPD (past)
• Banner Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1154384899
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922162734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045840",
            "telephone_number": "520-694-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 S LA CANADA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141945",
            "telephone_number": "520-694-3030",
            "fax_number": "520-694-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JUAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61855",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki L Greiff, MD
• Kathy Lynn Grindle, RN
• Garth Gruenhagen, COTA
• Ernesto Gutierrez, MD
• Keila Gutierrez, M.A.
• GV Acupuncture LLC
• GV Hospital Management LLC
• Kimberly Mantha Hamlin, LMT
• Kayla D Hancock, PHARMD
• Hanger Prosthetics & Orthotics West, Inc.

• Internal Medicine Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.