Provider Demographics
NPI:1538184221
Name:GUZMAN, MA ROSARIO C (MD)
Entity type:Individual
Prefix:
First Name:MA ROSARIO
Middle Name:C
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:40 KUPAOA STREET
Mailing Address - Street 2:UNIT B-101
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768
Mailing Address - Country:US
Mailing Address - Phone:808-215-6845
Mailing Address - Fax:808-646-7383
Practice Address - Street 1:40 KUPAOA STREET
Practice Address - Street 2:UNIT B-101
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768
Practice Address - Country:US
Practice Address - Phone:808-215-6845
Practice Address - Fax:808-646-7383
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2025-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD12780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0250134OtherHMSA - 65CP - HMSA QUEST
HI990176859OtherHMA-HMS-HMAA
HI307043OtherUHA
HI56073102OtherALOHA CARE QUEST
HI99017685996793B106OtherTRICARE
HI56073102Medicaid
HI0250134OtherHMSA - 65CP - HMSA QUEST
HI307043OtherUHA