MEDICARE: MS. MARIANELA GUERRERO RDN, LD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1005X	Renal Nutrition Registered Dietitian	DT82920	TX

General Provider Information

NPI Number	:	1326275959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIANELA GUERRERO RDN, LD, PHD

Provider Business Mailing Address
First Line	:	165 W CASTELLANO DR APT 3301
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-6273
Country	:	US
Telephone Number	:	719-468-9711
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 W CASTELLANO DR APT 3301
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-6273
Country	:	US
Telephone Number	:	719-468-9711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	01/27/2026

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