Provider Demographics
NPI:1902778392
Name:GUERRA, LIZ DIANA
Entity type:Individual
Prefix:
First Name:LIZ
Middle Name:DIANA
Last Name:GUERRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10630 SW 157TH CT APT 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3167
Mailing Address - Country:US
Mailing Address - Phone:305-560-3355
Mailing Address - Fax:
Practice Address - Street 1:10630 SW 157TH CT APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3167
Practice Address - Country:US
Practice Address - Phone:305-560-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist