Ivan Guerrero Md Pa in Jacksonville - Specialist
Ivan Guerrero Md Pa - NPI 1053508184
Ivan Guerrero Md Pa is a Specialist in Jacksonville, Florida. Ivan Guerrero Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ivan Guerrero Md Pa is 1053508184. The last update date is 2015-05-21.
Ivan Guerrero Md Pa's current location address is Po Box 551272, Jacksonville, Florida. You can contact this provider via phone number 9046463017 and fax number 9046461501. The mailing address for Ivan Guerrero Md Pa is Po Box 551272, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ivan Guerrero Md Pa |
|---|---|
| Address | Po Box 551272, Jacksonville, Florida |
| Phone Number | 9046463017 |
| Fax Number | 9046461501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Guerrero A Ivan |
| Credentials | M.D. |
| Telephone Number | 9046461987 |
NPI Number Detail
| NPI Number | 1053508184 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2015-05-21 |
Provider Mailing Address Detail
| Address | Po Box 551272 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322551272 |
| Phone Number | 9046463017 |
| Fax Number | 9046461501 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME82361 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 802800 | FL | -- |
Post Comment/ Review Below
What is the Ivan Guerrero Md Pa's 1053508184?
The Ivan Guerrero Md Pa's NPI (National Provider Identifier) Number is 1053508184. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ivan Guerrero Md Pa's facilities are geographically located?
The facilities of Ivan Guerrero Md Pa are physically situated at the following location: Po Box 551272, Jacksonville, FL, 322551272.
What is the Ivan Guerrero Md Pa's area of specialization and corresponding taxonomy classification?
The Ivan Guerrero Md Pa's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Ivan Guerrero Md Pa receive its 1053508184 assignment from the Centers for Medicare & Medicaid Services?
The Ivan Guerrero Md Pa was assigned its 1053508184 by the Centers for Medicare & Medicaid Services on 2007-10-03.
As of what date was the information pertaining to Ivan Guerrero Md Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ivan Guerrero Md Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-05-21.
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