MEDICARE: DR. SOL VIRGINIA GUERRERO MD

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	ME108546	FL
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME108546	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205058047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOL VIRGINIA GUERRERO MD

Provider Business Mailing Address
First Line	:	9960 CENTRAL PARK BLVD N
Second Line	:	SUITE 150
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1759
Country	:	US
Telephone Number	:	561-451-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	9960 CENTRAL PARK BLVD N
Second Line	:	SUITE 150
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1759
Country	:	US
Telephone Number	:	561-451-0500
Fax Number	:	561-451-0533

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	11/02/2017

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Directions to “ DR. SOL VIRGINIA GUERRERO MD” Practice Location

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