Active NPI
Innovation Podiatry Aesthetic & Regenerative Medicine PLLC
- Podiatrist
- Miami Shores, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- INNOVATION PODIATRY AESTHETIC & REGENERATIVE MEDICINE PLLC
- Practice address
- 209 NE 95TH St Ste 6
Miami Shores, FL 33138-2745 - Phone
- (407) 668-8833
- NPI assigned
- Dec 31, 2018
- 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
- Valeria Alfano Guerriero, DPM
- Title
- Podiatrist
- Phone
- (407) 668-8833
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
209 NE 95TH St Ste 6
Miami Shores, FL 33138-2745
Mailing address
1117 Asturia Ave
Coral Gables, FL 33134-4733
Phone (407) 668-8833
Other practice location 1
2500 SW 75th Ave
Miami, FL 33155-2805
Phone (305) 264-5252
Other practice location 2
1117 Asturia Ave
Coral Gables, FL 33134-4733
Phone (407) 668-8833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497225379 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16215 State Road 50
Ste 102
Clermont, FL 34711
Phone (352) 221-9136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Miami, FL
- NPI 1497225379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1194297143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 ASTURIA AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344733",
"telephone_number": "407-668-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 NE 95TH ST STE 6",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382745",
"telephone_number": "407-668-8833"
}
],
"practiceLocations": [
{
"address_1": "2500 SW 75th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331552805",
"country_code": "US",
"telephone_number": "305-264-5252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1117 Asturia Ave",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331344733",
"country_code": "US",
"telephone_number": "407-668-8833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INNOVATION PODIATRY AESTHETIC & REGENERATIVE MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-31",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "ALFANO GUERRIERO",
"authorized_official_first_name": "VALERIA",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "407-668-8833",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497225379",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.