Provider Demographics
NPI:1639114267
Name:UY, ROWENA GUZMAN
Entity Type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:GUZMAN
Last Name:UY
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 1:5325 GREENWOOD AVE
Mailing Address - Street 2:SUITE #302
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2452
Mailing Address - Country:US
Mailing Address - Phone:561-844-9858
Mailing Address - Fax:561-844-3436
Practice Address - Street 1:5325 GREENWOOD AVE
Practice Address - Street 2:SUITE #302
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2452
Practice Address - Country:US
Practice Address - Phone:561-844-9858
Practice Address - Fax:561-844-3436
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 920572080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271348900Medicaid