Doctor Name: | DR. HECTOR ESTEBAN GUEVARA-GARAY |
NPI Number: | 1376719971 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME 103575 |
Business Practice Address: | 13438 Fort King Rd Dade City, FL - 335255214 |
Business Phone Number: | 3525675266 |
Business Fax Number: | 3525673066 |
Mailing Address: | 13438 Fort King Rd, DADE CITY |
State: | FL |
Postal Code: | 335255214 |
Phone Number: | 3525675266 |
Fax Number: | 3525673066 |
NPI Enumeration Date: | 05/02/2008 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | ME 103575 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |