=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013219765
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GUERRA-GALINDEZ & MURIAS-BOUDET, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2010
-----------------------------------------------------
Last Update Date | 12/01/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 401 SW 27TH AVE 3RD FLOOR
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-858-2850
-----------------------------------------------------
Fax | 305-541-6606
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 SW 27TH AVE 3RD FLOOR
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-858-2850
-----------------------------------------------------
Fax | 305-541-6606
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MARIA GUERRA-GALINDEZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-858-2850
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------