Christian Guillama Deiter, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4866 Issued in PR

Practice address

PO Box 1637
Guaynabo, PR 00970-1637

Phone

(787) 999-6200

NPI assigned

Jun 13, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1992548457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AVE 5",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745630",
            "telephone_number": "787-381-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701637",
            "telephone_number": "787-999-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAMA DEITER",
        "first_name": "CHRISTIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Guerra Silva, 1260B
• Manuel D Guerrero Laboy, 0827P
• Fredesvinda Guerrero Polanco
• Kalyan Amani Guerrero-Thillet
• Ivelisse Guerrero
• Claudia Guisao, PHARM.D.
• Zoan Gutierrez-Ruiz, CCC-SLP
• Juan C Guzman Avila, 1174B
• Billy N Guzman Cruz, 0620P
• Miguel Angel Guzman Fuentes

• Family Nurse Practitioner in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Family Nurse Practitioner in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.