Healthcare Provider Details

I. General information

NPI: 1013599612
Provider Name (Legal Business Name): GISELLE GUERRERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GISELLE CASTILLO

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 CENTER POINT DR
EDINBURG TX
78539-8433
US

IV. Provider business mailing address

PO BOX 531968
HARLINGEN TX
78553-1968
US

V. Phone/Fax

Practice location:
  • Phone: 956-296-1834
  • Fax:
Mailing address:
  • Phone: 833-887-4863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberV9001
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: