Provider Demographics
NPI:1437928041
Name:GUERRERO, ROCIO LIZETH
Entity Type:Individual
Prefix:MRS
First Name:ROCIO
Middle Name:LIZETH
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ROCIO
Other - Middle Name:LIZETH
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:350 FAIRWAY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1834
Mailing Address - Country:US
Mailing Address - Phone:877-418-2978
Mailing Address - Fax:886-500-2186
Practice Address - Street 1:700 MILLAN STREET
Practice Address - Street 2:SUITE 1300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2736
Practice Address - Country:US
Practice Address - Phone:877-418-2978
Practice Address - Fax:886-500-2186
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician