MEDICARE: PATRICIA ADRIANA GUERRERO M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME86000	FL
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	ME86000	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5621725	OTHER	FL	AETNA
2	060070423	OTHER	FL	RRR
3	285997	OTHER	FL	AVMED
4	47843	OTHER	FL	BCBS
5	2555050	OTHER	FL	CIGNA
6	16839	OTHER	FL	FHHS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1881690410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ADRIANA GUERRERO M.D.

Provider Business Mailing Address
First Line	:	1613 N MILLS AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1849
Country	:	US
Telephone Number	:	407-894-4474
Fax Number	:	407-894-7136

Provider Business Practice Location Address
First Line	:	1613 N MILLS AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1849
Country	:	US
Telephone Number	:	407-894-4474
Fax Number	:	407-894-7136

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/19/2020

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax: