Healthcare Provider Details

I. General information

NPI: 1942038294
Provider Name (Legal Business Name): AIMARA MARIA GUZMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16804 SW 137TH AVE APT 1025
MIAMI FL
33177-2373
US

IV. Provider business mailing address

16804 SW 137TH AVE APT 1025
MIAMI FL
33177-2373
US

V. Phone/Fax

Practice location:
  • Phone: 786-539-8357
  • Fax:
Mailing address:
  • Phone: 786-539-8357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9120074
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA102169
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA18097
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: