Individual provider Active NPI

Marielena Guerra, M.D.

  • Obstetrics & Gynecology Physician
  • Lauderdale by the Sea, FL
National Provider Identifier
1437583416
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME117309 Issued in FL
Practice address
265 Commercial Blvd
Lauderdale by the Sea, FL 33308-4442
Phone
(954) 772-3960
Fax
(855) 494-7111
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME117309 FL Primary

Addresses

Primary practice location

265 Commercial Blvd
Lauderdale by the Sea, FL 33308-4442

Mailing address

265 Commercial Blvd
Lauderdale by the Sea, FL 33308-4442
Phone (954) 772-3960

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
I20140512001780 FL Practitioner - Obstetrics/Gynecology 7113150467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

265 B Commercial Blvd
Lauderdale by the Sea, FL 33308-4442
Phone (954) 772-3960

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117309FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients

Locations

1625 SE 3rd Ave
Ste 701
Ft Lauderdale, FL 33316
Phone (954) 467-2013

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

265B Commercial Blvd
Lauderdale by the Sea, FL 33308
Phone (954) 772-3960

265 Commercial Blvd
Lauderdale by the Sea, FL 33308
Phone (954) 772-3960

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1437583416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 COMMERCIAL BLVD",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084442",
            "telephone_number": "954-772-3960",
            "fax_number": "855-494-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COMMERCIAL BLVD",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084442",
            "telephone_number": "954-772-3960",
            "fax_number": "855-494-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MARIELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME117309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

Verify at the official NPI Registry.