Guillermo Somodevilla, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0049294 Issued in FL

Practice address

12750 NW 17TH St Unit 214
Miami, FL 33182-1422

Phone

(305) 269-0385

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Guillermo Somodevilla MD PA

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1679749998
  Medicare reassignment NPD Authorized official
• Cordova Medical Group Corp

  • Clinic/Center
  • Miami, FL
  • NPI 1740963149
  Medicare reassignment
• Universal Therapy Center Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
  • NPI 1295738672
  Care Compare group
• Cordova Research Institute, LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1447959408
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1124113782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "305-269-0385",
            "fax_number": "305-269-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "305-269-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMODEVILLA",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0049294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128307500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy A Somers, MD
• Valerie Baker Somers
• Robert Sommer
• Jessica Julia Somoano Gonzalez
• Julio Somoano, MD
• Carmen Rosa Somoza, OTR/L
• Erika Ross Somoza, MFT
• Marcio Somoza, DDS
• Maria Pilar Somoza, PH.D.
• Michel Somoza, DC

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.