Men dressed as police came into an upper class medical clinic, and opened fire on guards and bodyguards, who were present.
They then took off in five separate vehicles.
Guatemala's Interior Minister Mauriciao Lopez said that the gunmen were after Jairo Orellana, a drug lord who is a client of that clinic.
He further said that he believes it was "the product of a power struggle between drug traffickers".
Orellana was not there at the time of the shooting.
President General Otto Perez has vowed to crack down on the violent cartels, but that has become increasingly difficult as Mexican cartels push their influence further south.
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