Healthcare Provider Details

I. General information

NPI: 1508697236
Provider Name (Legal Business Name): FRANCISCO ANTONIO GUERRERO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 129 KM 15.1 BO BAYANEY
HATILLO PR
00959
US

IV. Provider business mailing address

PO BOX 28
SABANA SECA PR
00952-0028
US

V. Phone/Fax

Practice location:
  • Phone: 787-544-3045
  • Fax:
Mailing address:
  • Phone: 939-330-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number0971
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number0971
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number0971
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: