Provider Demographics
NPI:1972533909
Name:GUERRERO, PIO I JR (MD)
Entity type:Individual
Prefix:DR
First Name:PIO
Middle Name:I
Last Name:GUERRERO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2222 N NEVADA AVE
Mailing Address - Street 2:STE 5020
Mailing Address - City:COLORADO SPGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6868
Mailing Address - Country:US
Mailing Address - Phone:719-776-5960
Mailing Address - Fax:719-776-5045
Practice Address - Street 1:2222 N NEVADA AVE
Practice Address - Street 2:STE 5020
Practice Address - City:COLORADO SPGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6868
Practice Address - Country:US
Practice Address - Phone:719-776-5960
Practice Address - Fax:719-776-5045
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2008-03-19
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Provider Licenses
StateLicense IDTaxonomies
CO42321208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806736Medicare PIN
COI05954Medicare UPIN