Provider Demographics
NPI:1225884174
Name:GUEVARA DE COTTRILL, ASTRID ARIZBETH (MD)
Entity type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:ARIZBETH
Last Name:GUEVARA DE COTTRILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASTRID
Other - Middle Name:ARIZBETH
Other - Last Name:GUEVARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19035 TALAVERA RDG APT 3202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1489
Mailing Address - Country:US
Mailing Address - Phone:832-315-7398
Mailing Address - Fax:
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program