Healthcare Provider Details

I. General information

NPI: 1861900235
Provider Name (Legal Business Name): YESENIA GUZMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12350 SW 132ND CT STE 110
MIAMI FL
33186-6458
US

IV. Provider business mailing address

12914 SW 133RD CT UNIT 8
MIAMI FL
33186-6585
US

V. Phone/Fax

Practice location:
  • Phone: 561-590-7542
  • Fax:
Mailing address:
  • Phone: 305-632-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9387688
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: