Provider Demographics
NPI:1134283211
Name:DURAN GUZMAN, NORMANDO G (MD)
Entity Type:Individual
Prefix:
First Name:NORMANDO
Middle Name:G
Last Name:DURAN GUZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0280
Mailing Address - Country:US
Mailing Address - Phone:787-832-0454
Mailing Address - Fax:787-265-2144
Practice Address - Street 1:16W CALLE DE DIEGO
Practice Address - Street 2:SUITE102
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-0454
Practice Address - Fax:787-265-2144
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11067208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
5165OtherINTERNATIONAL MEDICAL CND
660574003OtherJENO BELLA VISTA
660574003OtherCOSUIMED
660574003OtherHUMANA MILITARY
660574003OtherMEDICAL CEND REFORMA
3134OtherAMERICAN HEALTH
660574003OtherTRICARE
660574003OtherFIRST PLUS MEDICARE
660574003OtherMMM HEALTHCARE
PE2111OtherPAN AMERICAN LIFE
06530OtherCRUZ AZUL
660574003OtherCIGNA
066530OtherBLUE CROSS
346771OtherMEDICAL CEND SYSTEM
660574003OtherMCS CLASSICARE
660574003OtherAETNA
20895OtherAMDR
660574003OtherGHI
660574003OtherAETNA
660574003OtherMEDICAL CEND REFORMA