Individual
DR. JHON SAUL GUZMAN-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5503 S CONGRESS AVE, SUITE 103, ATLANTIS, FL 33462-6614
(561) 965-7228
(561) 965-0120
Mailing address
5503 S CONGRESS AVE, SUITE 103, ATLANTIS, FL 33462-6614
(561) 965-7228
(561) 965-5889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME75394
FL
207RN0300X
Nephrology Physician
Primary
ME75394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254363000
—
FL
01
—
390006561
RR MEDICARE
FL
01
—
43371
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/09/2005
Last updated
12/29/2015
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