Provider Demographics
NPI:1659905453
Name:GUZMAN NEGRON, GILMARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:GILMARIE
Middle Name:
Last Name:GUZMAN NEGRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 8 A1 URB. SYLVIA
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783
Mailing Address - Country:US
Mailing Address - Phone:939-319-5147
Mailing Address - Fax:
Practice Address - Street 1:COROZAL SHOPPING VILLAGE, SUITE 1-A
Practice Address - Street 2:URB. LOMA LINDA, CARR. 159, KM 13.2
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783
Practice Address - Country:US
Practice Address - Phone:939-319-5147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty