Provider Demographics
NPI:1437114592
Name:GUERRA, JAMES JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOHN
Last Name:GUERRA
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 1:1706 MEDICAL BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110
Mailing Address - Country:US
Mailing Address - Phone:239-593-3500
Mailing Address - Fax:239-593-9163
Practice Address - Street 1:1706 MEDICAL BLVD
Practice Address - Street 2:STE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:239-593-3500
Practice Address - Fax:239-593-9163
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71751207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251574100Medicaid
F70927Medicare UPIN
FLK2720Medicare ID - Type UnspecifiedGROUP #
FL251574100Medicaid
FL5973460001Medicare NSC