Provider Demographics
NPI:1497758007
Name:GUERRA, ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 N CENTRAL AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2902
Mailing Address - Country:US
Mailing Address - Phone:602-997-0484
Mailing Address - Fax:602-944-6882
Practice Address - Street 1:3003 N CENTRAL AVE
Practice Address - Street 2:STE T100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-0000
Practice Address - Country:US
Practice Address - Phone:602-263-5446
Practice Address - Fax:602-263-7722
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15809207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ8997Medicaid
D69007Medicare UPIN
AZ8997Medicaid