Provider Demographics
NPI:1992902753
Name:GUERRA, CARLOS O (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:O
Last Name:GUERRA
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:347 N NEW RIVER DRIVE EAST DR
Mailing Address - Street 2:APT 3008
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301
Mailing Address - Country:US
Mailing Address - Phone:954-232-9539
Mailing Address - Fax:754-216-0110
Practice Address - Street 1:4800 FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:954-372-1038
Practice Address - Fax:754-216-0110
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2025-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME103544207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004541500Medicaid
FLCQ896ZMedicare UPIN
FLCQ896ZMedicare PIN