Provider Demographics
NPI:1366118697
Name:GUERRERO PEREZ, ANGEL G (MD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:G
Last Name:GUERRERO PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 CALLE CAMINO VERDE, URB. CAMINO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3671
Mailing Address - Country:US
Mailing Address - Phone:939-460-1401
Mailing Address - Fax:
Practice Address - Street 1:#2 CARR PATRON, MOROVIS, 00687
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687
Practice Address - Country:US
Practice Address - Phone:787-862-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23078208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice