Provider Demographics
NPI:1578803938
Name:GUZMAN, ENID (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ENID
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-0413
Mailing Address - Country:US
Mailing Address - Phone:787-361-8261
Mailing Address - Fax:
Practice Address - Street 1:ESTANCIAS DE BARCELONETA, CALLE BROTOLA
Practice Address - Street 2:CASA D 10
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-740-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR081542367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered