Provider Demographics
NPI:1811931660
Name:PECHERO, GUILLERMO R (MD)
Entity type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:R
Last Name:PECHERO
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 1:1005 E NOLANA LOOP
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6101
Mailing Address - Country:US
Mailing Address - Phone:956-686-6510
Mailing Address - Fax:956-688-6674
Practice Address - Street 1:1005 E NOLANA LOOP
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6101
Practice Address - Country:US
Practice Address - Phone:956-686-6510
Practice Address - Fax:956-688-6674
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5441207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ5441OtherLICENSE NUMBER
TX83V441Medicare PIN
TXF74319Medicare UPIN