Provider Demographics
NPI:1598740920
Name:ARMAIZ, GUILLERMO RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:RAFAEL
Last Name:ARMAIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 JOSE J ACOSTA ST
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-858-6077
Mailing Address - Fax:787-858-6704
Practice Address - Street 1:50 JOSE J ACOSTA ST
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-858-6077
Practice Address - Fax:787-858-6704
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100042OtherMMM HEALTHCARE, INC.
PR068476OtherLA CRUZ AZUL DE PUERTO RI
PRA367OtherFIRST MEDICAL HEALTH PLAN
PR22515AROtherTRIPLE S DE PUERTO RICO
PR6930032OtherHUMANA OF PUERTO RICO
PR0022515Medicare ID - Type Unspecified
PRA367OtherFIRST MEDICAL HEALTH PLAN