NPIMap

Organization Active NPI

Emmanuel Medical Center LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1164790986
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN223 Issued in FL
Legal business name
EMMANUEL MEDICAL CENTER LLC
Practice address
10613 Hammocks Blvd., #212
Miami, FL 33196
Phone
(954) 424-1873
Fax
(954) 200-7814
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Julian N Guerrero, M.D.
Title
Medical Doctor
Phone
(954) 424-1873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN223 FL Primary

Addresses

Primary practice location

10613 Hammocks Blvd., #212
Miami, FL 33196

Mailing address

10613 Hammocks Blvd., #212
Miami, FL 33196
Phone (954) 424-1873

Other identifiers 2

IdentifierTypeStateIssuer
AE622YOtherFLMEDICARE
278912400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1164790986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10613 HAMMOCKS BLVD., #212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "954-424-1873",
            "fax_number": "954-200-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 HAMMOCKS BLVD., #212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "954-424-1873",
            "fax_number": "954-200-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-424-1873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AE622Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278912400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.