Provider Demographics
NPI:1841626967
Name:GUZMAN GARCIA, HERMAN L (MD)
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:L
Last Name:GUZMAN GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 AVE SAGRADO CORAZON
Mailing Address - Street 2:APT 8-A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-3333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2005 AVE SAGRADO CORAZON
Practice Address - Street 2:APT 8-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-3333
Practice Address - Country:US
Practice Address - Phone:787-247-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19326208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice