Alfredo S Guillen, DO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO1095 Issued in FL

Practice address

9300 NW 77TH Ave
Hialeah Gardens, FL 33016-2504

Phone

(305) 819-2313

Fax

(305) 819-3546

NPI assigned

May 15, 2023

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

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1225729049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NW 77TH AVE",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162504",
            "telephone_number": "305-819-2313",
            "fax_number": "305-819-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 77TH AVE",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162504",
            "telephone_number": "305-819-2313",
            "fax_number": "305-819-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "ALFREDO",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando Daniel Grillo, CEO
• Randy Grover, O.D.
• Orelvis Guerra Pedraza
• Margarita Guerra
• Osvaldo Pineiro Guerrero, LMT
• Gustavo Forteza MD PA
• Beatriz Gutierrez, APRN
• Jose G Gutierrez
• Kelly Gutierrez, LDO
• Healing Hands Health Care, Inc.

• Optician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.