Provider Demographics
NPI:1326275959
Name:GUERRERO, MARIANELA (RDN, LD, PHD)
Entity Type:Individual
Prefix:MS
First Name:MARIANELA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:RDN, LD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 W CASTELLANO DR APT 3301
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6273
Mailing Address - Country:US
Mailing Address - Phone:719-468-9711
Mailing Address - Fax:
Practice Address - Street 1:2311 N MESA ST STE H
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3575
Practice Address - Country:US
Practice Address - Phone:915-500-4883
Practice Address - Fax:915-275-5510
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82920133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Single Specialty