Individual provider Active NPI

Anthony Jose Guadamuz, AP, MACOM

  • Acupuncturist
  • Coral Gables, FL
National Provider Identifier
1093180622
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3673 Issued in FL
Practice address
430 S Dixie Hwy
Ste 211
Coral Gables, FL 33146-2273
Phone
(786) 502-2173
NPI assigned
Dec 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 3673 FL Primary

Addresses

Primary practice location

430 S Dixie Hwy
Ste 211
Coral Gables, FL 33146-2273

Mailing address

430 S Dixie Hwy
Ste 211
Coral Gables, FL 33146-2273
Phone (786) 502-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP 3673FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oriental Medical Doctor, Inc Acupuncturist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1093180622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S DIXIE HWY",
            "address_2": "STE 211",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462273",
            "telephone_number": "786-502-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S DIXIE HWY",
            "address_2": "STE 211",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462273",
            "telephone_number": "786-502-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADAMUZ",
        "first_name": "ANTHONY",
        "middle_name": "JOSE",
        "credential": "AP, MACOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.