Provider Demographics
NPI:1902285968
Name:GUERRERO, CHADIA
Entity Type:Individual
Prefix:
First Name:CHADIA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHADIA
Other - Middle Name:
Other - Last Name:GUERRERO ARROJO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20421 NW 38TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-1416
Mailing Address - Country:US
Mailing Address - Phone:305-986-3477
Mailing Address - Fax:
Practice Address - Street 1:20421 NW 38TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-1416
Practice Address - Country:US
Practice Address - Phone:305-986-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-23
Last Update Date:2023-04-26
Deactivation Date:2021-08-05
Deactivation Code:
Reactivation Date:2022-03-30
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
FLOTA14276224Z00000X
FLOT24198225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant