MEDICARE: PABLO GUERRERO PT

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	225100000X	Physical Therapist	11155R	LA
2	225100000X	Physical Therapist	LPT-32645	AZ
3	225100000X	Physical Therapist	PT38056	FL

General Provider Information

NPI Number	:	1376269860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PABLO GUERRERO PT

Provider Business Mailing Address
First Line	:	4451 SW 162ND CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-3846
Country	:	US
Telephone Number	:	786-252-4958
Fax Number	:

Provider Business Practice Location Address
First Line	:	21083 N JOHN WAYNE PKWY
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85139-2959
Country	:	US
Telephone Number	:	520-233-7555
Fax Number	:

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

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	01/06/2026

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Directions to “ PABLO GUERRERO PT” Practice Location

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