Provider Demographics
NPI:1861900235
Name:GUZMAN, YESENIA (ARNP)
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12914 SW 133RD CT UNIT 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6585
Mailing Address - Country:US
Mailing Address - Phone:305-632-3544
Mailing Address - Fax:
Practice Address - Street 1:12350 SW 132ND CT STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6458
Practice Address - Country:US
Practice Address - Phone:561-590-7542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9387688363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily