Diabetes & Thyroid Care LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DIABETES & THYROID CARE LLC

Practice address

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

Phone

(772) 324-2007

Fax

(833) 909-3952

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Gabriel Guerrero, MDNPI 1285738831

Title

Provider

Phone

(772) 324-2007

Specialties & licenses 1

Addresses

Other names 1

• DIABETES & THYROID CARE LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Guerrero, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Port Saint Lucie, FL
  • NPI 1285738831
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1366145807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SW AMARILLO LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906228",
            "telephone_number": "772-324-2007",
            "fax_number": "833-909-3952"
        },
        {
            "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": {
        "organization_name": "DIABETES & THYROID CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "772-324-2007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABETES & THYROID CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DIABETES & THYROID CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Descending Dove Nurse-Midwifery Inc
• Marie Ginette Destin, PERSONAL CAREGIVER
• Keri Destito, ARNP
• Developmental Centers of Georgia
• Binno Dhar, M.D.
• Gilberto Diaz Ponce, BCBA
• Leanet Diaz Rivero, RBT
• Jose Alejandro Diaz, PA-C
• Kurtis Antonio Dickson, PA-C
• Kevin V Diep, DMD

• Endocrinology, Diabetes & Metabolism Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.