Healthcare Provider Details

I. General information

NPI: 1982070710
Provider Name (Legal Business Name): LESTER GUERRA MARTINEZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 VILLAGE OAK LN
KISSIMMEE FL
34746-6558
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 407-520-3588
  • Fax:
Mailing address:
  • Phone: 213-436-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9321516
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: