Provider Demographics
NPI:1649288259
Name:GUERRERO, ROLANDO ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:ALBERTO
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2426 MIMOSA CIR
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6702
Mailing Address - Country:US
Mailing Address - Phone:956-494-3763
Mailing Address - Fax:956-370-6582
Practice Address - Street 1:128 N FM 3167
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582
Practice Address - Country:US
Practice Address - Phone:956-487-9025
Practice Address - Fax:956-487-4680
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8629207P00000X, 173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092645303Medicaid
74-2265062OtherTAX ID NUMBER
TXH22622Medicare UPIN
TX092645303Medicaid