Individual ProviderDennis Vince-Cruz DeguzmanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110(619) 461-4411PECOS EnrollmentBased on the most recent information from CMS, provider Dennis Vince-Cruz Deguzman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1427516384Provider TypeIndividualFull NameDeguzman, Dennis Vince-CruzGenderMaleSole ProprietorNoEnumeration Date3/8/2019Last Updated3/8/2019Contact InformationPractice LocationPractice Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110Phone(619) 461-4411FaxUnlisted FaxMailing LocationMailing Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110Phone(619) 461-4411FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95010928California