Healthcare Provider Details

I. General information

NPI: 1710640883
Provider Name (Legal Business Name): GUARA BI, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 CALLE GAUTIER BENITEZ
CAGUAS PR
00725-5536
US

IV. Provider business mailing address

PO BOX 94738
LAS VEGAS NV
89193-4738
US

V. Phone/Fax

Practice location:
  • Phone: 787-743-3960
  • Fax:
Mailing address:
  • Phone: 702-385-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CRISTIAN O DUARTE
Title or Position: CHIEF OPERATIONAL OFFICER
Credential:
Phone: 943-444-9448