Carlos Andres Guevara Serra
General Practice in San Juan, PR. Individual provider (NPI-1).
NPI number1366074643
StatusActive
Last updated in NPPESOct 19, 2022
Details
- NPI
- 1366074643
- Entity type
- Individual (NPI-1)
- Name
- Mr. Carlos Andres Guevara Serra
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2020
- Certification date
- Oct 19, 2022
- Last updated
- Oct 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 16380 | PR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Paseo Dr. Jose Celso BarbosaSan Juan, PR 00921
Phone 787-758-2525
Mailing address
Estancias Reales Calle Principe Andres 46Guaynabo, PR 00969
Phone 787-479-0156
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