Brenda M Guzman-Villar, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME119566 Issued in FL

Practice address

1919 Lakeland Hills Blvd
Palm Terrace of Lakeland
Lakeland, FL 33805-2901

Phone

(863) 688-5612

Fax

(863) 687-8870

NPI assigned

Sep 20, 2006

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Medical Physical Therapy

  • Health Service Clinic/Center
  • Cayey, PR
  • NPI 1619194388
  NPD (past)
• RS Therapy Group, Inc.

  • Physical Therapy Clinic/Center
  • Canovanas, PR
  • NPI 1326467325
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1710084041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTH MICHIGAN AVE",
            "address_2": "1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "312-635-0973",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LAKELAND HILLS BLVD",
            "address_2": "PALM TERRACE OF LAKELAND",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052901",
            "telephone_number": "863-688-5612",
            "fax_number": "863-687-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-VILLAR",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME119566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01393385",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME119566",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013483900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaurav Gupta
• Claudia Daniela Gutierrez
• Ericka Gutierrez, PHARMD
• Susan Gesselle Gutierrez
• Tara Talisea Guyher, PHARMD.
• GV Lakeland, LLC (Grand Villa of Lakeland)
• H.O.T.F. Transportation LLC
• Marjorie Carr Habash
• Husam Habboub, M. D.
• Todd Haber, MD

• Physical Medicine & Rehabilitation Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.