GRENADA DERMATOLOGY – NPI #1942976378
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

GRENADA DERMATOLOGY is a dermatologist located in GRENADA, MS. NPPES has assigned the NPI number 1942976378 to GRENADA DERMATOLOGY on August 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRENADA DERMATOLOGY” is a dba name, the actual legal business name for this organization is CESAR ENRIQUE GUERRERO MD FAAD PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 3 years ago on Sep 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRENADA DERMATOLOGY below.

NPI Profile for
CESAR ENRIQUE GUERRERO MD FAAD PA

NPI Number
1942976378
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CESAR ENRIQUE GUERRERO MD FAAD PA
Doing Business As (dba): GRENADA DERMATOLOGY
Primary location
80 S MAIN ST
GRENADA, MS 38901-2620
Phone: (662) 307-9030 Fax: (662) 307-9038
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CESAR GUERRERO
CEO
Phone: (662) 307-9030
Updated
Certification Date
May 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.