Individual provider Active NPI

Guadalupe Tejera, BS

  • Social Worker
  • Hialeah, FL
National Provider Identifier
1093759458
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2300 W 84TH St Ste 105
Hialeah, FL 33016-5771
Phone
(786) 666-0507
Fax
(786) 666-0429
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2300 W 84TH St Ste 105
Hialeah, FL 33016-5771

Mailing address

2300 W 84TH St Ste 105
Hialeah, FL 33016-5771
Phone (786) 666-0507

Other identifiers 1

IdentifierTypeStateIssuer
763223100MedicaidFL

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1093759458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165771",
            "telephone_number": "786-666-0507",
            "fax_number": "786-666-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165771",
            "telephone_number": "786-666-0507",
            "fax_number": "786-666-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJERA",
        "first_name": "GUADALUPE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763223100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.