Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 56136 | TN |
N | 207ND0900X | Dermatopathologist | 261924 | NY |
N | 207ND0900X | Dermatopathologist | 56136 | TN |
N | 207ND0900X | Dermatopathologist | MD.32613 | AL |
N | 207ND0900X | Dermatopathologist | ME116247 | FL |
NPI | 1720378169 |
---|---|
Provider Name | Dr. Cesar Enrique Guerrero |
First Address | Memphis, TN 38125-8803 |
Second Address | Memphis, TN 38125-8803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 31/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
56136 | TENNESSEE (01) | TN |
MD.32613 | ALABAMA STATE LICENSE (01) | AL |