Provider Demographics
NPI:1841893328
Name:FLORES FIGUEROA, GUILLERMO J
Entity type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:J
Last Name:FLORES FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13335 ARCH CREEK RD APT 3
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1913
Mailing Address - Country:US
Mailing Address - Phone:787-602-7008
Mailing Address - Fax:
Practice Address - Street 1:13335 ARCH CREEK RD APT 3
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-1913
Practice Address - Country:US
Practice Address - Phone:787-602-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL46332355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant