Healthcare Provider Details

I. General information

NPI: 1548812449
Provider Name (Legal Business Name): NATALY VALERIA TORREJON GUZMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 10TH CT
VERO BEACH FL
32960-5013
US

IV. Provider business mailing address

3555 10TH CT
VERO BEACH FL
32960-5013
US

V. Phone/Fax

Practice location:
  • Phone: 772-563-4673
  • Fax: 772-226-4825
Mailing address:
  • Phone: 772-563-4673
  • Fax: 772-226-4825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.247867
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME172892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: