Provider Demographics
NPI:1518313592
Name:GUZMAN, RAUL ALEXIS (ND)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:ALEXIS
Last Name:GUZMAN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 9 BOX 59772
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9245
Mailing Address - Country:US
Mailing Address - Phone:787-449-3878
Mailing Address - Fax:
Practice Address - Street 1:CARR. 795 KM 5.3 INT
Practice Address - Street 2:BO LA MESA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-449-3878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR43175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath