Fidencio Guerrero III, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

119954 Issued in TX

Practice address

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478

Phone

(832) 655-4141

NPI assigned

Jul 8, 2010

Last updated

Nov 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1336451251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783540",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-655-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7324 Southwest Freeway",
            "address_2": "Suite 1550",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770742053",
            "country_code": "US",
            "telephone_number": "713-779-9800",
            "fax_number": "713-779-9813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "FIDENCIO",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "119954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF SURGICAL TECH AND SURGICAL ASSISTING",
            "identifier": "88619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura M Guarin, P.T., D.P.T., MCMT
• Diana M. Guerra, MD
• Guilherme Santos Guerra, PA-C
• Joshua Dominic Guerra
• Adriana Guerrero, NP-C
• Aaron Guess
• Britian Kambyl Skaht Guest, ACNP
• Niovert Guevara Figueroa Sr., RN
• Sushovan Guha, MD, PHD
• Rajeeb Guharoy, MD

• Surgical Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.