Guillermo Rogerio Tinoco Cifuentes, PA
Physician Assistant in Newberry, FL. Individual provider (NPI-1).
NPI number1942012166
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1942012166
- Entity type
- Individual (NPI-1)
- Name
- Guillermo Rogerio Tinoco Cifuentes
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2025
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 001781-PA | PR | Yes |
Practice location
1325 Nw 132nd CirNewberry, FL 32669-0289
Phone 352-870-1236
Mailing address
1325 Nw 132nd CirNewberry, FL 32669-0289
Phone 352-870-1236
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