R GUILLEN MD PC NPI 1467612499

NPI Information

NPI: 1467612499
Provider Name: R GUILLEN MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D1093198

Address:
800 GRAND CONCOURSE FRNT OFFICE5
BRONX, NY
ZIP 10451
Phone: (718) 401-2300
Get Directions

R GUILLEN MD PC is a primary care clinic center in Bronx, NY. R GUILLEN MD PC NPI is 1467612499. The provider is registered as an organization entity type.

The provider's business location address is:

800 GRAND CONCOURSE FRNT OFFICE5
BRONX, NY
ZIP 10451-003
Phone: (718) 401-2300
Fax: (718) 401-2322

The provider's authorized official is Rafael Antonio Guillen .
The authorized official title is Medical Doctor and has the following contact phone number (718) 401-2300.

The CLIA number assigned to this NPI record is 33D1093198 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 5/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	233234	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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