MEDICARE: GUZMAGUIL PROFESSIONAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1053727974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUZMAGUIL PROFESSIONAL SERVICES INC

Provider Business Mailing Address
First Line	:	1806 NE 33RD ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-7346
Country	:	US
Telephone Number	:	239-628-0301
Fax Number	:	850-757-0091

Provider Business Practice Location Address
First Line	:	1806 NE 33RD ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-7346
Country	:	US
Telephone Number	:	239-628-0301
Fax Number	:	850-757-0091

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MIGDALINA LINARES LOPEZ
Credential	:	P
Telephone Number	:	239-628-0301

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	01/23/2019

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Directions to “GUZMAGUIL PROFESSIONAL SERVICES INC ” Practice Location

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