Provider Demographics
NPI:1457765695
Name:GUGGIARI MED PC
Entity Type:Organization
Organization Name:GUGGIARI MED PC
Other - Org Name:TRUE CARE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ-GUGGIAIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-332-1669
Mailing Address - Street 1:9139 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 265
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4913
Mailing Address - Country:US
Mailing Address - Phone:623-777-4567
Mailing Address - Fax:623-777-4497
Practice Address - Street 1:9139 W THUNDERBIRD RD STE 265
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4922
Practice Address - Country:US
Practice Address - Phone:623-777-4567
Practice Address - Fax:623-777-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 363LF0000X, 363LG0600X
AZAP9950207Q00000X
AZ30852207R00000X
AZ207RI0200X, 2084N0400X
AZ40125207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ169594OtherMEDICARE PTAN
AZ921044Medicaid