Active NPI
Hector Esteban Guevara-Garay, M.D.
- Internal Medicine Physician
- Dade City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 103575
- Practice address
- 13438 Fort King Rd
Dade City, FL 33525-5214 - Phone
- (352) 567-5266
- Fax
- (352) 567-3066
- NPI assigned
- May 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME 103575 | FL | |
| Internal Medicine Physician | 207R00000X | ME 103575 | FL | Primary |
Addresses
Primary practice location
13438 Fort King Rd
Dade City, FL 33525-5214
Mailing address
13438 Fort King Rd
Dade City, FL 33525-5214
Phone (352) 567-5266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001330200 | Medicaid | FL | |
| P00846842 | Other | FL | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 103575 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Primary Care | Current | Accepting new patients |
Locations
13438 Fort King Rd
Dade City, FL 33525
Phone (352) 567-5266
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
4316 US Highway 98 N
Lakeland, FL 33809
Phone (352) 567-5266
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- hector.guevaragaray@sl.eclinicaldirectplus.com
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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1376719971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13438 FORT KING RD",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255214",
"telephone_number": "352-567-5266",
"fax_number": "352-567-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13438 FORT KING RD",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255214",
"telephone_number": "352-567-5266",
"fax_number": "352-567-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA-GARAY",
"first_name": "HECTOR",
"middle_name": "ESTEBAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME 103575",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 103575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001330200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00846842",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.