=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245845064
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FELIX GUERRA PHARMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2020
-----------------------------------------------------
Last Update Date | 01/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 472 KM 2.3 AVE ESTACION #357
-----------------------------------------------------
City | ISABELA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00662
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-830-8585
-----------------------------------------------------
Fax | 787-609-6190
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | CARR. 472 KM2.3 AVE. ESTACION #357
-----------------------------------------------------
City | ISABELA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00662
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-830-8585
-----------------------------------------------------
Fax | 787-609-6190
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 6796
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------