Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME122433 | FL |
N | 111NI0900X | Internist | ME122433 | FL |
NPI | 1003156209 |
---|---|
Provider Name | Dr. Roberto Guerra Del Castillo |
First Address | Lafayette, LA 70508-3870 |
Second Address | Miami Beach, FL 33140-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2013 |
Last Update Date | 02/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16028700 | (05) | FL |