Active NPI
Guillermo Talero, MD
- General Practice Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME 86710
- Practice address
- 1783 S Kings Ave
Brandon, FL 33511-6220 - Phone
- (813) 933-3060
- Fax
- (813) 662-4818
- NPI assigned
- Apr 17, 2006
- Last updated
- Oct 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME 86710 | FL | Primary |
Addresses
Primary practice location
1783 S Kings Ave
Brandon, FL 33511-6220
Mailing address
1783 S Kings Ave
Brandon, FL 33511-6220
Phone (813) 933-3060
Other practice location 1
4714 N Armenia Ave
Suite 100
Tampa, FL 33603-2603
Phone (813) 915-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260688700 | Medicaid | FL |
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
- General Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1783 S Kings Ave
Brandon, FL 33511-6220
Phone (813) 315-9896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 86710 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Value Healthcare LLC | Current | Accepting new patients |
Locations
1783 S Kings Ave
Brandon, FL 33511
Phone (813) 315-9896
3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505
5110 N Habana Ave
Ste 2
Tampa, FL 33614
Phone (813) 512-2564
1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1437113305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1783 S KINGS AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116220",
"telephone_number": "813-933-3060",
"fax_number": "813-662-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1783 S KINGS AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116220",
"telephone_number": "813-933-3060",
"fax_number": "813-662-4818"
}
],
"practiceLocations": [
{
"address_1": "4714 N Armenia Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336032603",
"country_code": "US",
"telephone_number": "813-915-9000",
"fax_number": "813-930-2701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALERO",
"first_name": "GUILLERMO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME 86710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260688700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
- Kirk Charles Szustkiewicz, DO
- T&C Home Enterprise LLC
- Ta & Associates, LLC (Cope Well Counseling Associates)
- Abigail Tabb, PT, DPT
- Allyson Talbert, OT CHT
- Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)
- Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)
- Tallahassee Orthopedic Clinic III, P.L. (Florida Orthopaedic Institute)
- Hannah Tallent Fernandez
- Umesh Tamhane, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.