Angel Orlando Guacaneme, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41358 Issued in TN

Practice address

2000 NW 87TH Ave Ste 102
Doral, FL 33172

Phone

(844) 665-4827

Fax

(866) 523-6595

NPI assigned

May 3, 2007

Last updated

Nov 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angel.guacaneme@wwmp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  Medicare reassignment NPD
• Guidewell Sanitas I, LLC

  • Multi-Specialty Clinic/Center
  • North Miami Beach, FL
  • NPI 1598311516
  NPD
• Bayside Pediatrics, Inc

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1760443527
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1073725164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722656",
            "telephone_number": "844-665-4827",
            "fax_number": "866-523-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "844-665-4827",
            "fax_number": "866-523-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336152754",
            "country_code": "US",
            "telephone_number": "813-885-1770",
            "fax_number": "813-889-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUACANEME",
        "first_name": "ANGEL",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "41358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Felicia Grimany
• Yenicelys Groeiro Mondejar
• Linsi Grose, LCSW, LICSW
• GRP Mia Services Corp
• GTG Community Services LLC
• Catherin Guach
• Guardian Direct Care
• Jessica Guarino
• Obeyda Guerra Labrada
• Geidy Guerra Mayedo, BCBA

• Pediatrics Physician in Doral, FL
• Providers in Doral, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.