Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Fulgencio Mercado Guzman, PA-C

Individual provider Physician Assistant · NPI 1407204829

Juan Fulgencio Mercado Guzman, PA-C is a Physician Assistant in Tinker AFB, Oklahoma. Works from 3 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7050 Air Depot Blvd
Tinker AFB, OK 73145-8716
Phone: (405) 582-6644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18th Medical Group, Apo, AP 96368 — (315) 630-4780
  • 96 Mdss/Sgne, Eglin Afb, FL 32542 — (850) 883-8448

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1407204829
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

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