Enrique Perez-Guerra, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

129-039 Issued in WI

Practice address

601 W Dayton St
The Kohl Center - Badgers Sports Medicine
Madison, WI 53715-1206

Phone

(608) 265-5698

Fax

(608) 265-4290

NPI assigned

Jun 12, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1316174709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W DAYTON ST",
            "address_2": "THE KOHL CENTER - BADGER SPORTS MEDICINE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151206",
            "telephone_number": "608-265-5698",
            "fax_number": "608-265-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W DAYTON ST",
            "address_2": "THE KOHL CENTER - BADGERS SPORTS MEDICINE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151206",
            "telephone_number": "608-265-5698",
            "fax_number": "608-265-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GUERRA",
        "first_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "129-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Peranteau, CMT, DIPL. ABT
• Yessenia Nicole Perdomo
• Patricia Marie Perdzock-Haas, RN
• Anthony Peret, MD
• Marla Perez Negrin, MD
• Jill Ann Perez-Guerra, MS LAT
• Alexandra Perez-Kohl, LMFT
• Paola S Perez
• Jennifer Perfetti, LPC
• Periodontal & Implant Specialists of Madison, LLC

• Athletic Trainer in Madison, WI
• Providers in Madison, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.