Individual
JUSTIN JAMES DE GUZMAN DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5008
Mailing address
1664 POCAHONTAS ST, NORFOLK, VA 23511-2921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102206754
VA
208D00000X
General Practice Physician
Primary
0102206754
VA
208M00000X
Hospitalist Physician
0102206754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104449362
—
MD
Enumeration date
05/22/2020
Last updated
07/27/2026
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