Provider Demographics
NPI:1023844941
Name:GUERRERO, ROBERTO JR (RN-BSN)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:GUERRERO
Suffix:JR
Gender:M
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3948
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:NM
Mailing Address - Zip Code:88021-3948
Mailing Address - Country:US
Mailing Address - Phone:915-549-7913
Mailing Address - Fax:
Practice Address - Street 1:1870 NORTHWESTERN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1122
Practice Address - Country:US
Practice Address - Phone:915-877-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-73380163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult