Individual
DR. CARMELITA GUINTO PRIETO DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
470 TAYLOR RD STE 310, MONTGOMERY, AL 36117-7130
(334) 747-4322
(334) 747-4321
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21912
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10211I3113
MEDICARE
AL
05
—
203211
—
AL
01
—
511-94769
BCBS OF AL
AL
01
—
H18394
VIVA HEALTH
AL
01
—
P01919334
RAILROAD MEDICARE
AL
Enumeration date
11/21/2006
Last updated
01/05/2023
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