Provider Demographics
NPI:1427349521
Name:SENAN, GUINA (MTL)
Entity type:Individual
Prefix:
First Name:GUINA
Middle Name:
Last Name:SENAN
Suffix:
Gender:F
Credentials:MTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SW 52ND PL
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1136
Mailing Address - Country:US
Mailing Address - Phone:786-206-0635
Mailing Address - Fax:786-206-0635
Practice Address - Street 1:130 SW 52ND PL
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1136
Practice Address - Country:US
Practice Address - Phone:786-206-0635
Practice Address - Fax:786-206-0635
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 59031225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371633970OtherEIN