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Contact Information

GUILLERMO HUERTA, MD
1120 N 103RD PLZ
SUITE 102
OMAHA, NE68114-1114
 Phone: 402-354-0120
 Fax: 402-354-0125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GUILLERMO HUERTA · (Male)

NPI # 1144224841
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 08/22/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 25333
  • NE License # 17643
  • IA Medicaid 1144224841
  • NE Medicaid 10026480109
Hospital affiliation(s)
  • JENNIE EDMUNDSON HOSPITAL - (Acute Care)
    933 EAST PIERCE STREET
    COUNCIL BLUFFS, IA 51503
  • THE NEBRASKA METHODIST HOSPITAL - (Acute Care)
    8303 DODGE ST
    OMAHA, NE 68114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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