Provider Demographics
NPI:1346940848
Name:GUZMAN-BERRIOS, CRISTIAN JOSSUE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:JOSSUE
Last Name:GUZMAN-BERRIOS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 MEXICALI AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-9515
Mailing Address - Country:US
Mailing Address - Phone:407-627-7449
Mailing Address - Fax:
Practice Address - Street 1:171 MEXICALI AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-9515
Practice Address - Country:US
Practice Address - Phone:407-627-7449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF03230099363LF0000X
FL11025109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily