Provider Demographics
NPI:1396889325
Name:GUERRERO, FELICIA (MD,)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:
Last Name:GUERRERO
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 1:504 CALLE ARAGON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-4134
Mailing Address - Country:US
Mailing Address - Phone:787-764-5543
Mailing Address - Fax:
Practice Address - Street 1:CALLE ARAGON 504 PUERTO NUEVO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4134
Practice Address - Country:US
Practice Address - Phone:787-764-5543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15255146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR15255OtherPR BOARD LICENSE
PRDM15154-8OtherASSMCA
PRDM15154-8OtherASSMCA