MEDICARE: DR. ALFREDO GUZMAN M.D.

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	207Q00000X	Family Medicine Physician	12483	PR

General Provider Information

NPI Number	:	1699890616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFREDO GUZMAN M.D.

Provider Business Mailing Address
First Line	:	909 BOSWELL DR
Second Line	:
City	:	OXFORD
State	:	AL
Zip	:	36203-2213
Country	:	US
Telephone Number	:	334-718-0862
Fax Number	:	256-832-4153

Provider Business Practice Location Address
First Line	:	96 ALI WAY
Second Line	:
City	:	OXFORD
State	:	AL
Zip	:	36203-1835
Country	:	US
Telephone Number	:	256-832-4141
Fax Number	:	256-832-4153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	01/14/2010

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Directions to “ DR. ALFREDO GUZMAN M.D.” Practice Location

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