Provider Demographics
NPI:1942966270
Name:SIGUENZA GUATEMALA, REBECA MARIANA (DNP)
Entity Type:Individual
Prefix:DR
First Name:REBECA
Middle Name:MARIANA
Last Name:SIGUENZA GUATEMALA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:DR
Other - First Name:REBECA
Other - Middle Name:MARIANA
Other - Last Name:SIGUENZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:134 SAWMILL FOREST CT
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-0394
Mailing Address - Country:US
Mailing Address - Phone:904-347-5182
Mailing Address - Fax:
Practice Address - Street 1:1505 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1134
Practice Address - Country:US
Practice Address - Phone:352-265-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11015977363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily