Gildardo Alexis Guerrero Mora, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1710 Issued in FL

Practice address

212 S Fla St
Bushnell, FL 33513-6703

Phone

(352) 793-2441

NPI assigned

Apr 21, 2025

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lowell F. Clark MD PAGroup PAC ID 7416918370, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
• Freedom Pointe Health Center Nursing home, The Villages, FL, CCN 106083
• Club Healthcare and Rehabilitation Center at the V Nursing home, The Villages, FL, CCN 106095
• Villages Healthcare and Rehabilitation Center, the Nursing home, Lady Lake, FL, CCN 106099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Lowell F. Clark MD PA

  • Internal Medicine Physician
  • Bushnell, FL
  • NPI 1629278882
  Medicare reassignment Care Compare group NPD
• Lowell F. Clark MD PA

  • Clinic/Center
  • Altoona, FL
  • NPI 1326671256
  NPD

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

• CCRC-Freedom Pointe at the Villages, LLC

  dba Freedom Pointe Health Center

  • Skilled Nursing Facility
  • Lady Lake, FL
  • NPI 1457587818

  Nursing home

  Care Compare affiliation
• Pinnacle Home Care of the Villages LLC

  • Home Health Agency
  • The Villages, FL
  • NPI 1982933321
  Care Compare affiliation
• The Club Healthcare and Rehabilitation Center at the Villages LLC

  • Skilled Nursing Facility
  • The Villages, FL
  • NPI 1225787419

  Nursing home

  Care Compare affiliation
• The Villages Nursing and Rehab LLC

  dba The Villages Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Lady Lake, FL
  • NPI 1992572614

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1437946993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S FLA ST",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335136703",
            "telephone_number": "352-793-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S FLA ST",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335136703",
            "telephone_number": "352-793-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO MORA",
        "first_name": "GILDARDO",
        "middle_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24218",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bahaa R Gerges, RPT
• Shelly Rene Gilbert, PTA
• Crystal Wallace Goddin, PTA
• Carolyn Sue Guarino, LPN II
• Jennifer Finkley Gue, FNP-C
• Haley Sabrina Haines, BCBA
• Kara Hastie, LMT
• Healthflo Medical Clinics Inc (Bushnell Family Practice)
• Janel Heinz
• Jamie Lyn Hernandez, LPN

• General Practice Physician in Bushnell, FL
• Providers in Bushnell, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.

Verify at the official NPI Registry.