National Provider Identifier

Jonathan Isai Guevara, MD

Jonathan Isai Guevara, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1750084059Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1750084059
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 24, 2023
Last Updated
March 24, 2023

Practice Location

  • 601 Elmwood Avenue Box Surg
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Mailing Address

  • 14 Meadowbrook RD
  • Hempstead, NY 11550-4521

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1750084059
Entity Type
Individual
Last Name
Guevara
First Name
Jonathan
Middle Name
Isai
Credential
MD
Mailing Street Address
14 Meadowbrook RD
Mailing City
Hempstead
Mailing State
NY
Mailing ZIP Code
11550-4521
Mailing Country
US
Mailing Phone
(516) 319-3355
Practice Street Address
601 Elmwood Avenue Box Surg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
March 24, 2023
Last Updated
March 24, 2023
Sex
Male
Sole Proprietor
No
Certification Date
March 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)