Provider Demographics
NPI:1447549795
Name:DUARTE PRIETO, GUILLERMO FELIPE (MD)
Entity type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:FELIPE
Last Name:DUARTE PRIETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 W 57TH ST FL 15
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2832
Mailing Address - Country:US
Mailing Address - Phone:212-289-0700
Mailing Address - Fax:
Practice Address - Street 1:57 W 57TH ST FL 15
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2832
Practice Address - Country:US
Practice Address - Phone:212-289-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288396207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery