Provider Demographics
NPI:1023071883
Name:GUEVAREZ, DARGEE EMID (MD)
Entity type:Individual
Prefix:
First Name:DARGEE
Middle Name:EMID
Last Name:GUEVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRISAS DEL PRADO
Mailing Address - Street 2:2025 GUARAGUAO
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-2175
Mailing Address - Country:US
Mailing Address - Phone:787-448-0222
Mailing Address - Fax:787-284-3724
Practice Address - Street 1:CONDOMINIO SAN VICENTE CONCORDIA #8169
Practice Address - Street 2:SUITE 405
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-284-3724
Practice Address - Fax:787-284-3724
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13671208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics