Provider Demographics
NPI:1881668671
Name:GUEVARA MUNOZ, CARLOS E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:GUEVARA MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8269 AVE JOBOS
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-2227
Mailing Address - Country:US
Mailing Address - Phone:787-235-6834
Mailing Address - Fax:787-280-8501
Practice Address - Street 1:18 AVENIDA SEVERIANO CUEVAS
Practice Address - Street 2:SUITE 23
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-235-6837
Practice Address - Fax:787-280-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14359208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice