Provider Demographics
NPI:1245220037
Name:GAUDIER GUERRA, FRANK A (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:GAUDIER GUERRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1720 CALLE ANDRES BELLO
Mailing Address - Street 2:URB PURPLE TREE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-753-1765
Mailing Address - Fax:787-771-9182
Practice Address - Street 1:CENTRO CARDIOVASCULAR DE PR Y DEL CARIBE
Practice Address - Street 2:SUITE 7-B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-753-1765
Practice Address - Fax:787-771-9182
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR53402085R0202X, 2085U0001X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085271AMedicare PIN
PRD08582Medicare UPIN