Healthcare Provider Details

I. General information

NPI: 1831083526
Provider Name (Legal Business Name): PIERRE GUZMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N ALVERNON WAY STE 101
TUCSON AZ
85711-1830
US

IV. Provider business mailing address

655 N ALVERNON WAY STE 228
TUCSON AZ
85711-1853
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-2551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR4564
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: