Individual
DR. LUIS A GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-6511
(336) 716-2255
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2020-00205
NC
207RC0000X
Cardiovascular Disease Physician
ME85888
FL
207RI0011X
Interventional Cardiology Physician
0101258670
VA
207RI0011X
Interventional Cardiology Physician
2020-00205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2660563-00
—
FL
05
—
390691266A
—
GA
Enumeration date
03/02/2006
Last updated
08/04/2025
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