Gualberto Guerrero-Manzano, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11467 Issued in PR

Practice address

1615 Calle San Julian
Urb. Sagrado Corazon
San Juan, PR 00926-4233

Phone

(787) 761-4932

NPI assigned

May 23, 2007

Last updated

Jan 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1215147616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 20621",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280621",
            "telephone_number": "787-761-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CALLE SAN JULIAN",
            "address_2": "URB. SAGRADO CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264233",
            "telephone_number": "787-761-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-MANZANO",
        "first_name": "GUALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Guerra Olivo
• Cristina A. Guerra Rivera, MSW
• Carlos Guerra-Santiago, MD
• Jhon A Guerra, M.D.
• Elsa A Guerrero Orellana, M.S., CCC-SLP
• Lidia M Guerrero-Rodriguez, DMD
• Felicia Guerrero, M.D.,
• Jose Rafael Guerrero Sr., OD
• Ricardo Alexis Guerrero, M.D.
• Isabel C Guerrido Martinez, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.