Active NPI
Luis E Guerrero, MD, PC
- Pulmonary Disease Physician
- Bronx, NY
National Provider Identifier
1205010931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 166025
- Legal business name
- LUIS E GUERRERO, MD, PC
- Practice address
- 1216 Beach Ave
Bronx, NY 10472-4755 - Phone
- (718) 597-1107
- Fax
- (718) 597-8567
- NPI assigned
- Dec 17, 2007
- 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
- Luis E Guerrero, MD
- Title
- President
- Phone
- (718) 299-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 166025 | NY | Primary |
Addresses
Primary practice location
1216 Beach Ave
Bronx, NY 10472-4755
Mailing address
1216 Beach Ave
Bronx, NY 10472-4755
Phone (718) 597-1107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166025 | Other | LICENSE | |
| 00951051 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0863239 | Luis E Guerrero, MD | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1205010931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 BEACH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104724755",
"telephone_number": "718-597-1107",
"fax_number": "718-597-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 BEACH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104724755",
"telephone_number": "718-597-1107",
"fax_number": "718-597-8567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS E GUERRERO, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GUERRERO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-299-2100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "166025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "166025",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951051",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.