Provider Demographics
NPI:1508028960
Name:GUERRERO-MIRANDA, CESAR YVAN (MD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:YVAN
Last Name:GUERRERO-MIRANDA
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 1:3410 WORTH ST
Mailing Address - Street 2:SUITE 545
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2003
Mailing Address - Country:US
Mailing Address - Phone:214-820-7068
Mailing Address - Fax:214-820-1474
Practice Address - Street 1:3410 WORTH ST
Practice Address - Street 2:SUITE 545
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:214-820-7068
Practice Address - Fax:214-820-1474
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9623207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease