Active NPI
Juan Andre Martinez-Guzman, P.A.
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1144401837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9100915
- Practice address
- 3001 N Rocky Point Dr E
Tampa, FL 33607-5810 - Phone
- (813) 289-9613
- NPI assigned
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9100915 | FL | Primary |
Addresses
Primary practice location
3001 N Rocky Point Dr E
Tampa, FL 33607-5810
Mailing address
3001 N Rocky Point Dr E
Tampa, FL 33607-5810
Phone (813) 289-9613
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9100915 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1144401837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 N ROCKY POINT DR E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075810",
"telephone_number": "813-289-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 N ROCKY POINT DR E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075810",
"telephone_number": "813-289-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-GUZMAN",
"first_name": "JUAN",
"middle_name": "ANDRE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-21",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9100915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.