Individual
JORGE A GUERRERO
Active
Individual
JORGE A GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001833
VA
363AS0400X
Surgical Physician Assistant
Primary
PA9104178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010253926
—
VA
05
—
2929716 00
—
FL
01
—
AI414Z
MEDICARE
FL
Enumeration date
05/24/2007
Last updated
06/29/2016
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