Paul Martin T Guerrero III

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

819413 Issued in NV

Practice address

5505 Dunshee Vista Ave
Las Vegas, NV 89131-2026

Phone

(702) 768-3594

NPI assigned

Oct 25, 2020

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

Other identifiers 1

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": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1790384246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 DUNSHEE VISTA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312026",
            "telephone_number": "702-768-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 DUNSHEE VISTA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312026",
            "telephone_number": "702-768-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "PAUL MARTIN",
        "middle_name": "T",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NV",
            "license": "819413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mae Anastasia Guerrero
• Miracle Travon Guerrero
• Moises E Guerrero
• Monica Guerrero
• Paloma Guerrero
• Rocio Guerrero
• Stefany Massicotte Guerrero, BCBA
• Vanessa Guerrero, BSN, RN
• Yeralinda Guerrero
• Yunco Rafaela Guerrero

• Critical Care Medicine Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Critical Care Medicine Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.