Jose Antonio Guerra, C.S.A.

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

05-124 Issued in FL

Practice address

1600 Sarno Rd
Suite 15
Melbourne, FL 32935-4938

Phone

(800) 348-4565

Fax

(888) 468-6511

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Remote Neuromonitoring Physicians ,PC

  • Neurology Physician
  • Brentwood, TN
  • NPI 1124253075
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1194878298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W END AVE",
            "address_2": "SUITE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031320",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD",
            "address_2": "SUITE 15",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354938",
            "telephone_number": "800-348-4565",
            "fax_number": "888-468-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "C.S.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": "05-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell J Guanzon, APRN
• Guardian Angel Home Care Agency, LLC
• Jennifer Catapano Guarino, LMHC
• Maria Gudnitz
• Jose Adrian Guerra Chico, DMD
• Joseph Antonio Guerra, CSFA
• Jorge Guerrero, M.D.
• Hany Heshmat Guirgis, M.D
• Darlyne Guldi-Mula, LCSW
• Jeffrey Andrew Gulick, D.O.

• All providers in Melbourne, FL
• Surgical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.