Individual provider Active NPI

Gabriel Guerrero, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Port Saint Lucie, FL
National Provider Identifier
1285738831
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME93826 Issued in FL
Practice address
540 NW University Blvd Ste 107
Port Saint Lucie, FL 34986-2280
Phone
(772) 324-2007
Fax
(833) 909-3952
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME93826 FL Primary

Addresses

Primary practice location

540 NW University Blvd Ste 107
Port Saint Lucie, FL 34986-2280

Mailing address

10521 SW Village Center Dr Ste 201
Port Saint Lucie, FL 34987-1930
Phone (772) 324-2007

Other practice location 1

1721 SW Gatlin Blvd
Port Saint Lucie, FL 34953-2757
Phone (772) 324-2007

Other identifiers 1

IdentifierTypeStateIssuer
280768800MedicaidFL

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
I20080424000172 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 9133220882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

540 NW University Blvd
Suite 107
Port Saint Lucie, FL 34986-2280
Phone (772) 324-2007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.29 of 100Reported as individual
Quality
83.2
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Thyroid Care LLC Endocrinology, Diabetes & Metabolism CurrentSince May 11, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Raulerson Primary Care LLC Internal Medicine PastSince Nov 16, 2015 Accepting new patients

Locations

540 NW University Blvd
Ste 107
Port St Lucie, FL 34986
Phone (321) 236-2323

1721 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 873-0037

10521 SW Village Center Dr
Ste 201
Port St Lucie, FL 34987
Phone (772) 467-5000

Interoperability endpoints

  • Direct secure messaging: gabriel.guerrero.1@29295.direct.athenahealth.com
  • Direct secure messaging: gguerrero89651@direct.ccf.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1285738831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 SW VILLAGE CENTER DR STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871930",
            "telephone_number": "772-324-2007",
            "fax_number": "772-873-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 107",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862280",
            "telephone_number": "772-324-2007",
            "fax_number": "833-909-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 SW Gatlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349532757",
            "country_code": "US",
            "telephone_number": "772-324-2007",
            "fax_number": "833-909-3952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME93826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280768800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.