Healthcare Provider Details

I. General information

NPI: 1255940425
Provider Name (Legal Business Name): ROLANDO GUERRA IGLESIAS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27455 S DIXIE HWY
HOMESTEAD FL
33032-8231
US

IV. Provider business mailing address

14329 SW 135TH CT
MIAMI FL
33186-8385
US

V. Phone/Fax

Practice location:
  • Phone: 305-245-3247
  • Fax: 786-475-7246
Mailing address:
  • Phone: 786-474-8838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11008287
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: