MEDICARE: JESUS IVAN GUERRERO

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1205794534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESUS IVAN GUERRERO

Provider Business Mailing Address
First Line	:	10046 N METRO PKWY W
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-1437
Country	:	US
Telephone Number	:	602-894-2880
Fax Number	:

Provider Business Practice Location Address
First Line	:	10046 N METRO PKWY W
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-1437
Country	:	US
Telephone Number	:	602-894-2880
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

Similar Medicare Providers

1780796268 — DEDRA SERAFIN RN
Practice Location Address:

10046 N METRO PKWY W
PHOENIX, AZ
85051-1437

Practice Phone: 844-646-3247
Practice Fax: 602-364-0890

1174719397 — MS. PATRICIA KATE PARADIS FNP-C
Practice Location Address:

10046 N METRO PKWY W , SUITE 115
PHOENIX, AZ
85051-1437

Practice Phone: 602-674-5515
Practice Fax:

1295018919 — KD CHIROPRACTIC LLC
Practice Location Address:

10046 N METRO PKWY W , STE 115
PHOENIX, AZ
85051-1437

Practice Phone: 602-674-5515
Practice Fax: 602-674-3029

1609206549 — MIRAGE MEDICAL LLC
Practice Location Address:

10046 N METRO PKWY W , SUITE 115
PHOENIX, AZ
85051-1437

Practice Phone: 602-674-5515
Practice Fax: 602-674-3029

1003237801 — BUCK HEALTHCARE LLC
Practice Location Address:

10046 N METRO PKWY W , SUITE 115
PHOENIX, AZ
85051-1437

Practice Phone: 602-674-5515
Practice Fax: 602-674-3029

1194146993 — GIGI HEALTHCARE LLC
Practice Location Address:

10046 N METRO PKWY W , SUITE 115
PHOENIX, AZ
85051-1437

Practice Phone: 602-674-5515
Practice Fax: 602-674-3029

Directions to “ JESUS IVAN GUERRERO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.