Western Communities Internal Medicine Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84093 Issued in FL

Legal business name

WESTERN COMMUNITIES INTERNAL MEDICINE CORP

Practice address

10115 Forest Hill Blvd
Suite 104
Wellington, FL 33414-3105

Phone

(561) 793-1117

Fax

(561) 793-1762

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Mario F Guillen, MDNPI 1952345324

Title

President/Owner

Phone

(561) 385-7004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mario F Guillen, MD

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1952345324

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1043483035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-793-1117",
            "fax_number": "561-793-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-793-1117",
            "fax_number": "561-793-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN COMMUNITIES INTERNAL MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-385-7004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wells Pharmacy Network LLC
• Tracy Ann Weskamp
• West Palm Beach Neurology, P.a.
• West Palm Beach Vamc
• Western Communities Family Practice Assoc Inc
• Western Imaging Inc
• Western Surgical Specialists PA
• Valerie Westrick
• Donald Arthur Wicklman, D.MIN, LMFT, CAP.
• Ashley Grace Wilcox

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.