Organization Active NPI

Eduardo Guzman, Mdpa

  • Specialist
  • Miami, FL
National Provider Identifier
1003162264
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MM0014466 Issued in FL
Legal business name
EDUARDO GUZMAN, MDPA
Practice address
1800 SW 27TH Ave
402
Miami, FL 33145-2457
Phone
(305) 445-2404
Fax
(305) 443-8759
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eduardo Guzman, MD
Title
Pres/Treasurer/Director/Sec
Phone
(305) 445-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MM0014466 FL Primary

Addresses

Primary practice location

1800 SW 27TH Ave
402
Miami, FL 33145-2457

Mailing address

1800 SW 27TH Ave
402
Miami, FL 33145-2457
Phone (305) 445-2404

Other identifiers 1

IdentifierTypeStateIssuer
049946300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1003162264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE",
            "address_2": "402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452457",
            "telephone_number": "305-445-2404",
            "fax_number": "305-443-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE",
            "address_2": "402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452457",
            "telephone_number": "305-445-2404",
            "fax_number": "305-443-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO GUZMAN, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRES/TREASURER/DIRECTOR/SEC",
        "authorized_official_telephone_number": "305-445-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM0014466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049946300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.