Healthcare Provider Details

I. General information

NPI: 1700690377
Provider Name (Legal Business Name): FLORENCE MARIE GUZMAN RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 132 KM. 22.7, 4601 CALLE MIGUEL POU 4601
PONCE PR
00728
US

IV. Provider business mailing address

URB. VILLA EL ENCANTO CALLE 7 H36
JUANA DIAZ PR
00795
US

V. Phone/Fax

Practice location:
  • Phone: 787-651-7691
  • Fax:
Mailing address:
  • Phone: 939-312-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number7901
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: