Provider Demographics
NPI:1851596043
Name:GUZMAN-PEREZ, HUMBERTO M (MD)
Entity Type:Individual
Prefix:DR
First Name:HUMBERTO
Middle Name:M
Last Name:GUZMAN-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HUMBERTO
Other - Middle Name:
Other - Last Name:GUZMAN-PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1357 ASHFORD AVE.
Mailing Address - Street 2:PMB 158
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-564-6600
Mailing Address - Fax:
Practice Address - Street 1:1357 ASHFORD AVE.
Practice Address - Street 2:PMB 158
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-564-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16916207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery