Provider Demographics
NPI:1205276367
Name:GUERRERO URENA, IRIS V (MD)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:V
Last Name:GUERRERO URENA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 WALLACE AVE
Mailing Address - Street 2:6J
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-1858
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N MONROE ST STE 800
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-1500
Practice Address - Country:US
Practice Address - Phone:321-300-2108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1863352084P0800X
NY2878012084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program