Individual provider · NPI-1
Alfredo S Guillen, DO
Technician/Technologist, Optician · Hialeah Gardens, FL
NPI number1225729049
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1225729049
- Entity type
- Individual (NPI-1)
- Name
- Mr. Alfredo S Guillen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | DO1095 | FL | Yes |
Practice location
9300 Nw 77th AveHialeah Gardens, FL 33016-2504
Phone 305-819-2313 · Fax 305-819-3546
Mailing address
9300 Nw 77th AveHialeah Gardens, FL 33016-2504
Phone 305-819-2313 · Fax 305-819-3546
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