Healthcare Provider Details

I. General information

NPI: 1942731799
Provider Name (Legal Business Name): KARLA LORRAINE GUZMAN MELERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11750 BIRD RD
MIAMI FL
33175-3530
US

IV. Provider business mailing address

B4 CALLE C URB LA MARGARITA
SALINAS PR
00751
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-2000
  • Fax: 305-227-5556
Mailing address:
  • Phone: 787-601-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME145410
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: