Individual provider · NPI-1

Charles J.S. Guimaraes, MD

Surgery · Gallup, NM

NPI number1003894130
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003894130
Entity type
Individual (NPI-1)
Name
Charles J.S. Guimaraes
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery99-116NMYes

Practice location

1900 Red Rock Dr.
Rehoboth Mckinley Christian Health Care Services
Gallup, NM 87301

Phone 505-863-7200

Mailing address

1901 Redrock Dr
Pfs Dept
Gallup, NM 87301-5683

Phone 505-863-7000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in Gallup, NM