Healthcare Provider Details

I. General information

NPI: 1205058047
Provider Name (Legal Business Name): SOL VIRGINIA GUERRERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 HOLLYWOOD BLVD STE 101
HOLLYWOOD FL
33021-6758
US

IV. Provider business mailing address

3801 HOLLYWOOD BLVD STE 101
HOLLYWOOD FL
33021-6758
US

V. Phone/Fax

Practice location:
  • Phone: 754-347-4055
  • Fax: 754-347-4055
Mailing address:
  • Phone: 754-347-4055
  • Fax: 754-347-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME108546
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME108546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: