Provider Demographics
NPI:1861292120
Name:GUEVARA, ARTHUR XAVIER II
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:XAVIER
Last Name:GUEVARA
Suffix:II
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 SUNRAY WAY APT 102
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-8343
Mailing Address - Country:US
Mailing Address - Phone:910-650-7282
Mailing Address - Fax:
Practice Address - Street 1:2150 THRESHER AVE
Practice Address - Street 2:USS ALABAMA SSBN 731
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98315
Practice Address - Country:US
Practice Address - Phone:910-650-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
No286500000XHospitalsMilitary Hospital