NPIMap

Organization Active NPI

Guillermo Valenzuela, MD,PA

  • Rheumatology Physician
  • Plantation, FL
National Provider Identifier
1134305477
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
GUILLERMO VALENZUELA, MD,PA
Practice address
140 SW 84TH Ave
# B
Plantation, FL 33324-2736
Phone
(954) 476-2338
Fax
(954) 476-8837
NPI assigned
Jan 17, 2008
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. Guillermo J Valenzuela, MDNPI 1245252402
Title
President
Phone
(954) 476-2338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

140 SW 84TH Ave
# B
Plantation, FL 33324-2736

Mailing address

7542 Saint Andrews Rd
Lake Worth, FL 33467-1317
Phone (561) 357-7884

Other identifiers 1

IdentifierTypeStateIssuer
378648000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1134305477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 SAINT ANDREWS RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671317",
            "telephone_number": "561-357-7884",
            "fax_number": "561-760-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 84TH AVE",
            "address_2": "# B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242736",
            "telephone_number": "954-476-2338",
            "fax_number": "954-476-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO VALENZUELA, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-476-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378648000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.