| Guzman-huesca & Perez Llc | |
|
3501 Health Center Blvd Suite 2160 Bonita Springs FL 34135-8127 | |
| (239) 948-4470 | |
| (239) 948-0933 |
| Full Name | Guzman-huesca & Perez Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3501 Health Center Blvd, Bonita Springs, Florida |
| Authorized Official Name and Position | Jorge Guzman-huesca (OWNER) |
| Authorized Official Contact | 2394053525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guzman-huesca & Perez Llc 3501 Health Center Blvd Suite 2160 Bonita Springs FL 34135-8127 Ph: (239) 948-4470 | Guzman-huesca & Perez Llc 3501 Health Center Blvd Suite 2160 Bonita Springs FL 34135-8127 Ph: (239) 948-4470 |
| NPI Number | 1184098238 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Medicare PECOS PAC ID | 8527367820 |
|---|---|
| Medicare Enrollment ID | O20160506001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184098238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME-72957 (Florida) | Primary |
| Provider Name | Jorge R Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043228091 PECOS PAC ID: 4082743521 Enrollment ID: I20100521000631 |
| Provider Name | Nelly Maria Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407948680 PECOS PAC ID: 8820128259 Enrollment ID: I20100611000325 |
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