Provider Demographics
NPI:1336280429
Name:CORICA GUINLE, ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:CORICA GUINLE
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:P.O. BOX 2908
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2908
Mailing Address - Country:US
Mailing Address - Phone:787-866-3355
Mailing Address - Fax:787-864-6488
Practice Address - Street 1:HOSPITAL EPISCOPAL CRISTO REDENTOR
Practice Address - Street 2:1ST LEVEL, AVE. PEDRO ALBIZU CAMPOS, URB.HACIENDA
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-866-3355
Practice Address - Fax:787-864-6488
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14585208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9824OtherIN TERNATIONAL MEDICAL CA
PR7850017OtherHUMANA INSURANCE
PR062193OtherCRUZ AZUL OF P.R.
PR0021089Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PRH69392Medicare UPIN