Provider Demographics
NPI:1265652234
Name:GUATY, NESTOR ESTEBAN (MD)
Entity Type:Individual
Prefix:
First Name:NESTOR
Middle Name:ESTEBAN
Last Name:GUATY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8840 SW 40TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5482
Mailing Address - Country:US
Mailing Address - Phone:305-221-3111
Mailing Address - Fax:305-221-3493
Practice Address - Street 1:8840 SW 40TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5482
Practice Address - Country:US
Practice Address - Phone:305-221-3111
Practice Address - Fax:305-221-3493
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME63895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23513Medicare ID - Type Unspecified
FLF70106Medicare UPIN