Provider Demographics
NPI:1194507541
Name:GUERRERO-SANTANA, KEYLA
Entity type:Individual
Prefix:
First Name:KEYLA
Middle Name:
Last Name:GUERRERO-SANTANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HUSS CT APT 206
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-2955
Mailing Address - Country:US
Mailing Address - Phone:781-971-2958
Mailing Address - Fax:
Practice Address - Street 1:20 HUSS CT APT 206
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905-2955
Practice Address - Country:US
Practice Address - Phone:781-971-2958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health