1750422671 NPI number — MR. ANGEL R GUERRA TORRES M.D.

Table of content: MR. ANGEL R GUERRA TORRES M.D. (NPI 1750422671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750422671 NPI number — MR. ANGEL R GUERRA TORRES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUERRA TORRES
Provider First Name:
ANGEL
Provider Middle Name:
R
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUERRA TORRES
Provider Other First Name:
ANGEL
Provider Other Middle Name:
R
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1750422671
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7128
Provider Second Line Business Mailing Address:
MIGRANT HEALTH CENTER, INC
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-7128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-805-2900
Provider Business Mailing Address Fax Number:
787-834-1924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE RAMON EMETERIO BETANCES 392 SUR
Provider Second Line Business Practice Location Address:
MIGRANT HEALTH CENTER, INC
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-805-2920
Provider Business Practice Location Address Fax Number:
787-834-1924
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  14025 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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