Individual provider Active NPI

Guillermo Tablada, M.D.

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1417935230
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME70086 Issued in FL
Practice address
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone
(305) 325-5416
Fax
(305) 548-0530
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME70086 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave
Miami, FL 33136-1003

Mailing address

PO Box 816759
Hollywood, FL 33081-0759
Phone (954) 964-2450

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
I20040806000097 FL Practitioner - Anesthesiology 8527967769 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70086FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Jul 20, 2017 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Sep 20, 2010 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince May 1, 2006 Accepting new patients

Locations

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

11801 SW 90th St
Ste 202
Miami, FL 33186
Phone (305) 595-2414

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

5426 Bay Center Dr
Ste 300
Tampa, FL 33609
Phone (813) 291-7017

Organizations & group practices 4

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417935230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816759",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330810759",
            "telephone_number": "954-964-2450",
            "fax_number": "954-964-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-325-5416",
            "fax_number": "305-548-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLADA",
        "first_name": "GUILLERMO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME70086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.