Healthcare Provider Details

I. General information

NPI: 1861934796
Provider Name (Legal Business Name): ALANNA MARIA GUZMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO MONACILLOS CENTRO MEDICO DE PR
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

1019 AVE LUIS VIGOREAUX APT 11I
GUAYNABO PR
00966-2406
US

V. Phone/Fax

Practice location:
  • Phone: 787-765-5183
  • Fax:
Mailing address:
  • Phone: 973-474-6640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number22194
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number22194
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22194
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: