Claudio Verdadero Guillermo Jr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

03719R Issued in LA

Practice address

4912 Hwy. 1
Raceland, LA 70394-0390

Phone

(985) 532-5092

Fax

(985) 532-8044

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By 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

Credentials

Doctor of Medicine

State licenses

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.

• C V Guillermo Jr a Professional Medical Corp

  • General Practice Physician
  • Raceland, LA
  • NPI 1417085143
  Authorized official Same address or phone

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1861681504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703940390",
            "telephone_number": "985-532-5092",
            "fax_number": "985-532-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 HWY. 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703940390",
            "telephone_number": "985-532-5092",
            "fax_number": "985-532-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLERMO",
        "first_name": "CLAUDIO",
        "middle_name": "VERDADERO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "03719R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124087",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reena Gopinathan, PT
• Natasha Lynn Goss-Voisin, MD
• Saria Gouher, M.B; B.S, M.D.
• Paige Griffin
• Stacey Guidry, LPC
• Dennis J. Guillot
• Joyce Marie Hadley
• Mounkaila Garba Hamza, DPT
• Kakeisha Harris
• Megan Matherne Hartman, M.D.

• General Practice Physician in Raceland, LA
• Providers in Raceland, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.