Healthcare Provider Details

I. General information

NPI: 1760955744
Provider Name (Legal Business Name): DR. FELIX G GUZMAN MOYETT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2019
Last Update Date: 02/24/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COM. CRISTINA 3 LAS GLADIOLAS ESQ. CARR. 14
JUANA DIAZ PR
00795-9998
US

IV. Provider business mailing address

2DA EXT. SANTA TERESITA 3839 SANTA ALODIA
PONCE PR
00730-4619
US

V. Phone/Fax

Practice location:
  • Phone: 787-677-2837
  • Fax:
Mailing address:
  • Phone: 787-677-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3559
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: