Provider Demographics
NPI:1609571017
Name:GUILLEN, FELIPE (MD)
Entity type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:GUILLEN
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 1:135 DOWLING WAY
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8073
Mailing Address - Country:US
Mailing Address - Phone:860-679-3467
Mailing Address - Fax:833-842-0131
Practice Address - Street 1:135 DOWLING WAY
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-8073
Practice Address - Country:US
Practice Address - Phone:860-679-3467
Practice Address - Fax:833-842-0131
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAPTL14324208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program