| Carlos Guerra Llc | |
|
2151 E Commercial Blvd Ste 203 Fort Lauderdale FL 33308-3807 | |
| (954) 232-9539 | |
| Not Available |
| Full Name | Carlos Guerra Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2151 E Commercial Blvd Ste 203, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Carlos Guerra (PRESIDENT) |
| Authorized Official Contact | 9542329539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Guerra Llc 347 N New River Dr E Apt 3008 Fort Lauderdale FL 33301-3170 Ph: (954) 232-9539 | Carlos Guerra Llc 2151 E Commercial Blvd Ste 203 Fort Lauderdale FL 33308-3807 Ph: (954) 232-9539 |
| NPI Number | 1710758164 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Medicare PECOS PAC ID | 4183069750 |
|---|---|
| Medicare Enrollment ID | O20240305003273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710758164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Carlos O Guerra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992902753 PECOS PAC ID: 0749323855 Enrollment ID: I20100211000147 |
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