Provider Demographics
NPI:1962577635
Name:GUERRERO, CELINA SISON (MD)
Entity type:Individual
Prefix:DR
First Name:CELINA
Middle Name:SISON
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1712 LILIHA MEDICAL BUILDING
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-537-1087
Mailing Address - Fax:808-523-9029
Practice Address - Street 1:1712 LILIHA MEDICAL BUILDING
Practice Address - Street 2:SUITE 305
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-537-1087
Practice Address - Fax:808-523-9029
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI02594208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01378201Medicaid
HI01378201Medicaid
E01206Medicare UPIN