C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP
NPI 1417085143
General Practice in Raceland, LA

Active since March 02, 2007
4912 HIGHWAY 1, RACELAND, LA 70394(985) 532-5092(985) 532-8044 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About C V Guillermo Jr A Professional Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP (NPI 1417085143) is a healthcare organization registered as a general practice in Raceland, Louisiana and active in the NPI registry since March 2007. The organization lists Claudio V Guillermo, President, as its authorized official.

NPPES Registry Identity

NPI1417085143
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameC V GUILLERMO JR A PROFESSIONAL MEDICAL CORP
Location Address4912 HIGHWAY 1Raceland, LA 70394
Mailing AddressPo Box 390Raceland, LA 70394 · (985) 532-5092 · Fax (985) 532-8044
Fax(985) 532-8044
Organization SubpartNo
Authorized OfficialClaudio V GuillermoPresident · (985) 532-5092
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1417085143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in LA · 03719R
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4912 HIGHWAY 1, Raceland, LA 70394

Other Identifiers 2

Medicaid1124087LA
Other1574214481LA · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Long Term Care Pharmacy)
4912 HIGHWAY 1
RACELAND, LA 70394
Clinic/Center (Urgent Care)
4912 HIGHWAY 1
RACELAND, LA 70394
General Practice
4912 HIGHWAY 1
RACELAND, LA 70394
Physician Assistant
4912 HIGHWAY 1
RACELAND, LA 70394
Chiropractor
4912 HIGHWAY 1
RACELAND, LA 70394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C V Guillermo Jr A Professional Medical Corp's NPI number?

The NPI number for C V Guillermo Jr A Professional Medical Corp is 1417085143. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is C V Guillermo Jr A Professional Medical Corp located?

C V Guillermo Jr A Professional Medical Corp is located at 4912 Highway 1, Raceland, LA 70394. The listed phone number is (985) 532-5092.

What is C V Guillermo Jr A Professional Medical Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for C V Guillermo Jr A Professional Medical Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.