Provider Demographics
NPI:1629834551
Name:OLIVA, GUIOMAR (ARNP)
Entity type:Individual
Prefix:
First Name:GUIOMAR
Middle Name:
Last Name:OLIVA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:GUIOMAR
Other - Middle Name:
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:12150 SW 128TH CT STE 138
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4673
Mailing Address - Country:US
Mailing Address - Phone:786-255-8887
Mailing Address - Fax:
Practice Address - Street 1:7122 SW 149TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1067
Practice Address - Country:US
Practice Address - Phone:786-255-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030515363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner