Individual provider Active NPI

Nilmarie Guzman, MD

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1245390723
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93088 Issued in FL
Practice address
2021 Professional Center Dr Ste 100
Orange Park, FL 32073-4461
Phone
(904) 688-3000
Fax
(904) 688-3001
NPI assigned
Dec 12, 2006
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME93088 FL Primary
Infectious Disease Physician 207RI0200X ME93088 FL

Addresses

Primary practice location

2021 Professional Center Dr Ste 100
Orange Park, FL 32073-4461

Mailing address

PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008

Other identifiers 2

IdentifierTypeStateIssuer
473932675AMedicaidGA
277209400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000471 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 0143221465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Ponce School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

4689 Hwy 17
Suite 14
Fleming Island, FL 32003-4831
Phone (904) 264-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME93088FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Center, Inc. CurrentSince Oct 10, 2017 Accepting new patients
Memorial Family Practice Associates, LLC CurrentSince Nov 15, 2022 Accepting new patients
Trenton Medical Center Inc CurrentSince Oct 10, 2017 Accepting new patients
Memorial Family Practice Associates LLC Past Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2021 Professional Center Dr
Orange Park, FL 32073
Phone (386) 454-0698

2021 Professional Center Dr
Ste 100
Orange Park, FL 32073
Phone (904) 639-2005

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: nilmarie.guzman@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1245390723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP PROVIDER ENROLLMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PROFESSIONAL CENTER DR STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-688-3000",
            "fax_number": "904-688-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "NILMARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93088",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME93088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473932675A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277209400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.