Provider Demographics
NPI:1972077832
Name:GUERRERO, DAVID E (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB SANS SOUCI
Mailing Address - Street 2:P13 CALLE 35
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-604-8246
Mailing Address - Fax:
Practice Address - Street 1:URB SANS SOUCI
Practice Address - Street 2:P13 CALLE 35
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-4312
Practice Address - Country:US
Practice Address - Phone:787-604-8246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist