Provider Demographics
NPI:1417560301
Name:GUARDIA, CINTIA AMSTALDEN (NMT, LMT)
Entity Type:Individual
Prefix:
First Name:CINTIA
Middle Name:AMSTALDEN
Last Name:GUARDIA
Suffix:
Gender:F
Credentials:NMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 S OCEAN BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4227
Mailing Address - Country:US
Mailing Address - Phone:786-956-1085
Mailing Address - Fax:
Practice Address - Street 1:4505 S OCEAN BLVD APT 104
Practice Address - Street 2:
Practice Address - City:HIGHLAND BEACH
Practice Address - State:FL
Practice Address - Zip Code:33487-4227
Practice Address - Country:US
Practice Address - Phone:786-956-1085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171R00000X
ZZBRAZIL173C00000X
FLMA79911225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty