Guerrero, M.D., Pllc, Ismael

Guerrero, M.D., Pllc, Ismael is an sole proprietor health care provider with primary practice located at 1965 W. 24Th Street Suite A, Yuma AZ 85364-6255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Guerrero, M.D., Pllc, Ismael can be contacted via phone (928) 344-5774.

Contact Information

Primary practice address
1965 W. 24Th Street Suite A Yuma AZ 85364-6255
Fax: (928) 344-5779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 21545 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21545 Arizona

Profile Details

NPI number 1518053503
LBN Legal business name Guerrero, M.D., Pllc, Ismael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Mar 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518053503 NPPES
Arizona MEDICAID 139841 001

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