Provider Demographics
NPI:1326244542
Name:GUERRERO, JULIAN NAPOLEON (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:NAPOLEON
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16134 SW 61ST LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5798
Mailing Address - Country:US
Mailing Address - Phone:786-859-4163
Mailing Address - Fax:
Practice Address - Street 1:10404 W FLAGLER ST
Practice Address - Street 2:SUITE 15
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1615
Practice Address - Country:US
Practice Address - Phone:786-859-4163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN 223208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLACN 223OtherAREA OF CRITICAL NEED LIC
PR15625OtherPR MEDICAL LICENSE
FL278912400Medicaid
PR15625OtherPR MEDICAL LICENSE