Active NPIIndividual providerSole proprietor

Dr. Myriam Guadalupe, MD

General Practice in Canovanas, Puerto Rico

NPI Number1164413894
Practice location
185 St. Km.11.1 Lomas Coles, Canovanas, PR 00729-0729
Fax
787-256-6300
Last updated
September 15, 2022

Myriam Guadalupe is a General Practice based in Canovanas, PR. Myriam Guadalupe practices in Canovanas, PR and has the professional credentials of MD. The NPI Number for Myriam Guadalupe is 1164413894 and holds a License No. 15992 (PR). The current practice location address for Myriam Guadalupe is 185 St. Km.11.1 Lomas Coles, Canovanas, PR 00729-0729 and can be reached out via phone at 787-256-6300 and via fax at 787-256-6300.

Provider Profile Details

NPI Number
1164413894
Provider Name
Myriam Guadalupe
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
185 St. Km.11.1 Lomas Coles, Canovanas, PR 00729-0729
Phone Number
787-256-6300
Fax Number
787-256-6300
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2005
Last Update Date
September 15, 2022
Certification Date
September 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 St. Km.11.1 Lomas Coles
Canovanas, PR 00729-0729
Zip
00729-0729
Phone Number
787-256-6300
Fax Number
787-256-6300
Canovanas, PR 00729Get directions →

Provider Business Mailing Address Details

Address
Po Box 799
Rio Blanco, PR 00744-0799
City
Rio Blanco
State
PR
Zip
00744-0799
Phone Number
787-256-6300
Fax Number
787-256-6300

License Information

License Number
15992
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Myriam Guadalupe, MD?

The NPI number of Dr. Myriam Guadalupe, MD is 1164413894. It was assigned on November 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Myriam Guadalupe, MD?

Dr. Myriam Guadalupe, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 15992.

Where does Dr. Myriam Guadalupe, MD practice?

The practice location is 185 St. Km.11.1 Lomas Coles, Canovanas, PR 00729-0729. The office can be reached at 787-256-6300 (phone) or 787-256-6300 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164413894 directly on the NPPES registry website.

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