Active NPI
Robert James Guerra, M.D.
- Surgery Physician
- Tucson, AZ
National Provider Identifier
1336244052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10189
- Practice address
- Southern Arizona Veterans Administration Health Care
3601 S. 6TH Ave.
Tucson, AZ 85723-0001 - Phone
- (520) 629-4602
- Fax
- (520) 629-4603
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10189 | AZ | Primary |
Addresses
Primary practice location
Southern Arizona Veterans Administration Health Care
3601 S. 6TH Ave.
Tucson, AZ 85723-0001
Mailing address
7022 N Corte del Anuncio
Tucson, AZ 85718-7333
Phone (520) 297-7090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203208 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10189 | AZ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336244052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7022 N CORTE DEL ANUNCIO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857187333",
"telephone_number": "520-297-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTHERN ARIZONA VETERANS ADMINISTRATION HEALTH CARE",
"address_2": "3601 S. 6TH AVE.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-629-4602",
"fax_number": "520-629-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "10189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203208",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.