Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Myriam Guadalupe, MD

Individual provider General Practice Physician · NPI 1164413894

Dr. Myriam Guadalupe, MD is a General Practice in Canovanas, Puerto Rico. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
22
Licensed in
PR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

185 St KM.11.1 Lomas Coles
Canovanas, PR 00729-0729
Phone: (787) 256-6300
Fax: (787) 256-6300

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Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 15992 (PR)

Record details

NPI number1164413894
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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