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NPI Code Detail

MEDICARE: MRS. NUBIA ESPERANZA GUEVARA PT

MEDICARE: MRS. NUBIA ESPERANZA GUEVARA PT
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
1225100000XPhysical Therapist6988FL

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 : 1366751281
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NUBIA ESPERANZA GUEVARA PT
Provider Business Mailing Address
First Line : 1102 NE 117TH ST
Second Line :
City : BISCAYNE PARK
State : FL
Zip : 33161-6752
Country : US
Telephone Number : 305-891-1667
Fax Number :
Provider Business Practice Location Address
First Line : 5190 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2476
Country : US
Telephone Number : 305-448-1585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 09/27/2010

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