C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP – NPI #1417085143
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP is a provider located in RACELAND, LA. NPPES has assigned the NPI number 1417085143 to C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP on March 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP below.

NPI Profile for
C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP

NPI Number
1417085143
Enumeration Date

(more than 19 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
C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP
Primary location
4912 HIGHWAY 1
RACELAND, LA 70394
Phone: (985) 532-5092 Fax: (985) 532-8044
Mailing address
PO BOX 390
RACELAND, LA 70394
Phone: (985) 532-5092 Fax: (985) 532-8044
Organization Subpart
No
Authorized Official
CLAUDIO GUILLERMO
PRESIDENT
Phone: (985) 532-5092
Updated
Identifiers

Identifiers for C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSLA1574214481
MEDICAIDLA1124087
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.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
LA 03719R

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.