Active NPI
Jose Guerra MD & Associates LLC
- Clinic/Center
- South Miami, FL
National Provider Identifier
1124476817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME121917
- Legal business name
- JOSE GUERRA MD & ASSOCIATES LLC
- Practice address
- 6001 SW 70TH St Apt 347
South Miami, FL 33143 - Phone
- (786) 514-2450
- NPI assigned
- Jun 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Armando Guerra-Valencia, MD
- Title
- Managing Member
- Phone
- (786) 514-2450
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ME121917 | FL | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | ME121917 | FL | |
| Psychiatric Residential Treatment Facility | 323P00000X | ME121917 | FL |
Addresses
Primary practice location
6001 SW 70TH St Apt 347
South Miami, FL 33143
Mailing address
6001 SW 70TH St Apt 347
South Miami, FL 33143-3426
Phone (786) 514-2450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014195400 | Medicaid | FL | |
| ID902Z | Other | FL | MEDICAID PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1124476817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 SW 70TH ST APT 347",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433426",
"telephone_number": "786-514-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 SW 70TH ST APT 347",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "786-514-2450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE GUERRA MD & ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-02",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "GUERRA-VALENCIA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ARMANDO",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "786-514-2450",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "ME121917",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "FL",
"license": "ME121917",
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "FL",
"license": "ME121917",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014195400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PTAN",
"identifier": "ID902Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.