Individual
LUISA MARIA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3520 W 18TH AVE STE 115, HIALEAH, FL 33012-4634
(786) 837-0897
(786) 837-0898
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME139976
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103687300
—
FL
01
—
ME139976
MEDICAL LICENSE
FL
Enumeration date
07/12/2016
Last updated
01/21/2021
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