# DR. TAMARA IVELISSE GUZMAN RODRIGUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063443612
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 15632 | PR | — |
| 208D00000X | General Practice Physician | ACN 448 | FL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1063443612 | — | FL |
| 01 | — | ACN 448 | LICENSE | FL |