Organization Active NPI

Jose Guerra MD & Associates LLC

  • Clinic/Center
  • South Miami, FL
National Provider Identifier
1124476817
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME121917 Issued in FL
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

Updated by the provider on Jul 18, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014195400MedicaidFL
ID902ZOtherFLMEDICAID PTAN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.