Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17733 | PR |
N | 111NI0900X | Internist | 17733 | PR |
Y | 207RH0002X | Hospice and Palliative Medicine | N8009 | TX |
NPI | 1336351279 |
---|---|
Provider Name | Hector Juan Guerra |
First Address | San Antonio, TX 78240-3905 |
Second Address | San Antonio, TX 78240-3905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 05/02/2018 |