Provider Demographics
NPI:1841491057
Name:GUERRERO, RICARDO ALEXIS (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:ALEXIS
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:A -16. CALLE JAGUA
Mailing Address - Street 2:VALLE ARRIBA HTS.
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-0000
Mailing Address - Country:US
Mailing Address - Phone:787-667-4650
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HOSPITAL. GENERAL SURGERY. 3RD FLOOR
Practice Address - Street 2:MEDICAL SCIENCES CAMPUS. UNIVERSITY OF PUERTO RICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR016221208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation