Individual provider Active NPI

Grisela Guzman

  • Registered Nurse
  • Patillas, PR
National Provider Identifier
1043754807
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
90489 Issued in PR
Practice address
99 Calle Guillermo Riefkkohl
Patillas, PR 00723
Phone
(787) 839-4320
Fax
(787) 271-0004
NPI assigned
Dec 14, 2016
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 90489 PR Primary

Addresses

Primary practice location

99 Calle Guillermo Riefkkohl
Patillas, PR 00723

Mailing address

99 Calle Guillermo Riefkkohl
Patillas, PR 00723
Phone (787) 839-4320

Other identifiers 1

IdentifierTypeStateIssuer
00228162OtherPRREGISTRY NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90489PRMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1043754807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "GRISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "90489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY NUMBER",
            "identifier": "00228162",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.