Provider Demographics
NPI:1992446330
Name:DEYA-NAVARRO, JOSUE GUILLERMO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSUE
Middle Name:GUILLERMO
Last Name:DEYA-NAVARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSUE
Other - Middle Name:GUILLERMO
Other - Last Name:DEYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:800 N CLINTON ST APT 405
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-1358
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1834
Practice Address - Country:US
Practice Address - Phone:315-464-5240
Practice Address - Fax:315-464-3751
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program