Provider Demographics
NPI:1548232317
Name:GUERRERO, MILTON ALONZO (MD, CMD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:ALONZO
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD, CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12302 ANGEL SHORES LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6402
Mailing Address - Country:US
Mailing Address - Phone:832-467-1400
Mailing Address - Fax:832-467-1401
Practice Address - Street 1:12302 ANGEL SHORES LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-6402
Practice Address - Country:US
Practice Address - Phone:832-467-1400
Practice Address - Fax:832-467-1401
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7334207QG0300X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117184505Medicaid
TXP00640578OtherRAILROAD MEDICARE
TXG33489Medicare UPIN
TX8F6259Medicare PIN