Individual
GUILLERMO MEDRANO DEL ROSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5510-B PRESIDIO PARKWAY, SUITE 2205, SAN ANTONIO, TX 78249
(210) 874-3732
(210) 874-3733
Mailing address
5510-B PRESIDIO PARKWAY, SUITE 2205, SAN ANTONIO, TX 78249
(210) 874-3732
(210) 874-3733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD474934
PA
208600000X
Surgery Physician
Primary
T4977
TX
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34051792
LICENSE NUMBER
PA
Enumeration date
03/30/2016
Last updated
09/26/2023
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