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NPI Code Detail

MEDICARE: DR. MARIA ISABEL GUEVARA DDS

MEDICARE: DR. MARIA ISABEL GUEVARA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry23621FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073009676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA ISABEL GUEVARA DDS
Provider Business Mailing Address
First Line : 1017 CEDAR FALLS DR
Second Line :
City : WESTON
State : FL
Zip : 33327-1727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1711 HAMMONDVILLE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-1989
Country : US
Telephone Number : 954-972-6066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2018
Last Update Date : 07/06/2018

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