Individual provider · NPI-1
Dr. Juanita Guadalupe, M.D.
Pediatrics, Adolescent Medicine · Caguas, PR
NPI number1376740076
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376740076
- Entity type
- Individual (NPI-1)
- Name
- Dr. Juanita Guadalupe
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 6146 | PR | Yes |
Practice location
O20 Ave L Munoz MarinUrb. Villa Carmen
Caguas, PR 00725-6162
Phone 787-743-1080 · Fax 787-747-5759
Mailing address
O20 Ave L Munoz MarinUrb. Villa Carmen
Caguas, PR 00725-6162
Phone 787-743-1080 · Fax 787-747-5759
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