Provider Demographics
NPI:1033004510
Name:GUZMAN RODRIGUEZ, SAMAELIZ
Entity type:Individual
Prefix:
First Name:SAMAELIZ
Middle Name:
Last Name:GUZMAN RODRIGUEZ
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 1:51 BO PALO ALTO
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-6903
Mailing Address - Country:US
Mailing Address - Phone:939-261-7008
Mailing Address - Fax:
Practice Address - Street 1:51 BO PALO ALTO
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-6903
Practice Address - Country:US
Practice Address - Phone:939-261-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist