MEDICARE: CARLOS M GUERRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME 92388	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093735268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS M GUERRA M.D.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	786-566-2645
Fax Number	:	305-835-7021

Provider Business Practice Location Address
First Line	:	3233 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5427
Country	:	US
Telephone Number	:	305-826-0660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	03/01/2024

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