Provider Demographics
NPI:1497581094
Name:GUILLERMO VIEIRO LLC
Entity type:Organization
Organization Name:GUILLERMO VIEIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:VIEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-274-9003
Mailing Address - Street 1:12216 FAIRWAY CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-1713
Mailing Address - Country:US
Mailing Address - Phone:737-274-9003
Mailing Address - Fax:
Practice Address - Street 1:12216 FAIRWAY CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-1713
Practice Address - Country:US
Practice Address - Phone:737-274-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care