Healthcare Provider Details

I. General information

NPI: 1427378884
Provider Name (Legal Business Name): ROY GUINTO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 VIP DR STE 120
WEXFORD PA
15090-6934
US

IV. Provider business mailing address

117 VIP DR STE 120
WEXFORD PA
15090-6934
US

V. Phone/Fax

Practice location:
  • Phone: 412-586-9700
  • Fax:
Mailing address:
  • Phone: 412-586-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberDOS-1449
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberOS020946
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: