Organization Active NPI

Angel a Guerra MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1346492758
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME96982 Issued in FL
Legal business name
ANGEL A GUERRA MD PA
Practice address
9600 SW 8TH St
Suite 23 B
Miami, FL 33174-2900
Phone
(786) 382-7312
Fax
(305) 228-9628
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Angel A Guerra, MD
Title
President
Phone
(786) 382-7312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME96982 FL Primary

Addresses

Primary practice location

9600 SW 8TH St
Suite 23 B
Miami, FL 33174-2900

Mailing address

11365 NW 7TH St
Apt 204
Miami, FL 33172-3583
Phone (786) 382-7312

Other identifiers 1

IdentifierTypeStateIssuer
000541800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1890 SW 57th Ave
Ste 108
Miami, FL 33155
Phone (305) 269-7774

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1346492758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11365 NW 7TH ST",
            "address_2": "APT 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723583",
            "telephone_number": "786-382-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE 23 B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "786-382-7312",
            "fax_number": "305-228-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL A GUERRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-382-7312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000541800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.