Healthcare Provider Details

I. General information

NPI: 1245845064
Provider Name (Legal Business Name): FELIX GUERRA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 472 KM 2.3 AVE ESTACION #357
ISABELA PR
00662
US

IV. Provider business mailing address

CARR. 472 KM2.3 AVE. ESTACION #357
ISABELA PR
00662
US

V. Phone/Fax

Practice location:
  • Phone: 787-830-8585
  • Fax: 787-609-6190
Mailing address:
  • Phone: 787-830-8585
  • Fax: 787-609-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6796
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: