Provider Demographics
NPI:1629243852
Name:DR HUMBERTO M GUIOT CSP
Entity Type:Organization
Organization Name:DR HUMBERTO M GUIOT CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUIOT MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MB
Authorized Official - Phone:787-382-3851
Mailing Address - Street 1:POBOX 363382
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3382
Mailing Address - Country:US
Mailing Address - Phone:787-382-3851
Mailing Address - Fax:787-268-7271
Practice Address - Street 1:HOSPITAL UNIVESITARIO
Practice Address - Street 2:CENTRO MEDICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:787-268-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14581207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI52146Medicare UPIN