Provider Demographics
NPI:1477702751
Name:GUERRERO, FLORO G (MD)
Entity type:Individual
Prefix:MR
First Name:FLORO
Middle Name:G
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 NAUTILUS DR
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2490
Mailing Address - Country:US
Mailing Address - Phone:609-597-6072
Mailing Address - Fax:609-597-5255
Practice Address - Street 1:24 NAUTILUS DR
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2490
Practice Address - Country:US
Practice Address - Phone:609-597-6072
Practice Address - Fax:609-597-5255
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA024820208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC57061Medicare UPIN
NJGU574612Medicare PIN