Individual
MS. GRACIELLA RIVERA-GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5590 WEST 20 AVE, SUITE 100, MIAMI, FL 33015
(305) 827-3303
(305) 556-3372
Mailing address
5590 WEST 20 AVE, SUITE 100, MIAMI, FL 33015
(305) 827-3303
(305) 556-3372
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100010
FL
Other
Enumeration date
10/13/2006
Last updated
12/14/2012
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