Healthcare Provider Details

I. General information

NPI: 1760424915
Provider Name (Legal Business Name): SANDRA GUERRA M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 SE MILITARY DR BLDG 528
SAN ANTONIO TX
78223-3542
US

IV. Provider business mailing address

12612 CHALLENGER PKWY STE 365
ORLANDO FL
32826-2784
US

V. Phone/Fax

Practice location:
  • Phone: 210-207-8780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL0229
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberL0229
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: