Provider Demographics
NPI:1568628220
Name:ZAGUIRRE, GRACE DEGUZMAN
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:DEGUZMAN
Last Name:ZAGUIRRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 FOREST HILL BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6073
Mailing Address - Country:US
Mailing Address - Phone:561-968-5553
Mailing Address - Fax:561-300-2115
Practice Address - Street 1:1495 FOREST HILL BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6073
Practice Address - Country:US
Practice Address - Phone:561-968-5553
Practice Address - Fax:561-300-2115
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9231814163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse