Basic Information
Provider Information
NPI: 1629243852
EntityType: 2
ReplacementNPI:  
OrganizationName: DR HUMBERTO M GUIOT CSP
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: POBOX 363382
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009363382
CountryCode: US
TelephoneNumber: 7873823851
FaxNumber: 7872687271
Practice Location
Address1: HOSPITAL UNIVESITARIO
Address2: CENTRO MEDICO
City: SAN JUAN
State: PR
PostalCode: 00926
CountryCode: US
TelephoneNumber: 7877540101
FaxNumber: 7872687271
Other Information
ProviderEnumerationDate: 04/29/2008
LastUpdateDate: 08/11/2016
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: GUIOT MARTINEZ
AuthorizedOfficialFirstName: HUMBERTO
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7873823851
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MB
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X14581PRY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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