Basic Information
| Provider Information | |||||||||
| NPI: | 1639114267 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | UY | ||||||||
| FirstName: | ROWENA | ||||||||
| MiddleName: | GUZMAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5325 GREENWOOD AVE | ||||||||
| Address2: | SUITE #302 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334072452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618449858 | ||||||||
| FaxNumber: | 5618443436 | ||||||||
| Practice Location | |||||||||
| Address1: | 5325 GREENWOOD AVE | ||||||||
| Address2: | SUITE #302 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334072452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618449858 | ||||||||
| FaxNumber: | 5618443436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 09/23/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0202X | ME 92057 | FL | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology |
ID Information
| ID | Type | State | Issuer | Description | 271348900 | 05 | FL | MEDICAID |