Individual provider Active NPI

Jose Antonio Guerrero Sr., FNP

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1326652132
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11008870 Issued in FL
Practice address
6075 W 20TH Ave Apt 310
Hialeah, FL 33012-6180
Phone
(786) 454-7539
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11008870 FL Primary

Addresses

Primary practice location

6075 W 20TH Ave Apt 310
Hialeah, FL 33012-6180

Mailing address

6075 W 20TH Ave Apt 310
Hialeah, FL 33012-6180
Phone (786) 454-7539

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218001070 FL Practitioner - Nurse Practitioner 3870905607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008870FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Specialties Inc. CurrentSince Nov 20, 2020 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

2601 SW 37th Ave
Ste 904
Miami, FL 33133
Phone (305) 447-6688

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1326652132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 W 20TH AVE APT 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126180",
            "telephone_number": "786-454-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 W 20TH AVE APT 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126180",
            "telephone_number": "786-454-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_suffix": "Sr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.