Provider Demographics
NPI:1306265269
Name:LAJUD GUERRERO, SHAYANNE ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:SHAYANNE
Middle Name:ALEXANDER
Last Name:LAJUD GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OTO HNS SCHOOL OF MEDICINE
Mailing Address - Street 2:SUITE A972 MAIN BLDG REC CIENCIAS MEDICAS, CENTRO M
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00935-0001
Mailing Address - Country:US
Mailing Address - Phone:787-765-0240
Mailing Address - Fax:
Practice Address - Street 1:OTO HNS SCHOOL OF MEDICINE
Practice Address - Street 2:SUITE A972 MAIN BLDG RECINTO CIENCIAS MEDICAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-765-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23503207YX0007X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck