Provider Demographics
NPI:1811048531
Name:GUZMAN, SUHEIL (CNM)
Entity type:Individual
Prefix:
First Name:SUHEIL
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 NW 130TH TER APT 142
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-3945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2229 N COMMERCE PKWY STE 220
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3283
Practice Address - Country:US
Practice Address - Phone:954-314-7160
Practice Address - Fax:954-378-9040
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00094900363LW0102X
FLAPRN9377987363LW0102X, 367A00000X
NJ25ME00051300367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ110636SBVMedicare PIN
NJ110636CN9Medicare PIN
NJ472415SBVMedicare PIN