VIDMAR IVAN CARRILLO GUZMAN NPI 1780517375

NPI Information

  • NPI: 1780517375
  • Provider Name: VIDMAR IVAN CARRILLO GUZMAN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 21444 CARMEAN WAY
    GEORGETOWN, DE
    ZIP 19947
  • Phone: (302) 855-1233

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NPI Details

Vidmar Ivan Carrillo Guzman is a family nurse practitioner in Georgetown, DE. Vidmar Ivan Carrillo Guzman NPI is 1780517375. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21444 CARMEAN WAY
GEORGETOWN, DE
ZIP 19947-572
Phone: (302) 855-1233
Fax: (302) 654-1061

The enumeration date for this NPI number is 6/4/2026 and was last updated on 6/4/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyLG-0013919DELAWAREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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