Provider Demographics
NPI:1366741381
Name:GUERRERO, OSVALDO PINEIRO (LMT)
Entity type:Individual
Prefix:
First Name:OSVALDO
Middle Name:PINEIRO
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12401 W OKEECHOBEE RD
Mailing Address - Street 2:LOT 119
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018
Mailing Address - Country:US
Mailing Address - Phone:786-333-5427
Mailing Address - Fax:
Practice Address - Street 1:12401 W OKEECHOBEE RD
Practice Address - Street 2:LOT 119
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-2924
Practice Address - Country:US
Practice Address - Phone:786-333-5427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA60863173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist