MEDICARE: DR. PATRICIA M ROSAS-GUYON D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO 2583	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	65494	OTHER	FL	BCBSFL

General Provider Information

NPI Number	:	1932158177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA M ROSAS-GUYON D.P.M.

Provider Business Mailing Address
First Line	:	2919 SW 36TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3411
Country	:	US
Telephone Number	:	305-521-8755
Fax Number	:	305-854-8581

Provider Business Practice Location Address
First Line	:	631 SW 23RD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1929
Country	:	US
Telephone Number	:	305-854-2222
Fax Number	:	305-854-8581

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

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	02/18/2016

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