Physician Compare National (NPI:1962670463)

HEALTHCARE PROVIDER: RICHARD GUERRERO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962670463
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799815692
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100618000380
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUERRERO
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	11860 VISTA DEL SOL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 123
	Group Practice or individual's line 2 address
City	EL PASO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	799366128
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE HOSPITALS OF PROVIDENCE - EAST CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450107
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAS PALMAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450024
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UNIVERSITY MEDICAL CENTER OF EL PASO
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y