Individual
LUIS GINO PRADA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
740 US HIGHWAY 1 N, ISELIN, NJ 08830-2652
(732) 874-5507
(732) 874-5508
Mailing address
740 US HIGHWAY 1 N, ISELIN, NJ 08830-2652
(732) 874-5507
(732) 874-5508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01377500
NJ
363LF0000X
Family Nurse Practitioner
APRN11020245
FL
Other
Enumeration date
06/22/2022
Last updated
07/04/2026
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