Gustavo H Shimabuco, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5203997 Issued in FL

Practice address

9734 W Sample Rd
Coral Springs, FL 33065-4004

Phone

(954) 903-1323

Fax

(786) 664-3342

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Neuro Wellness Centers of America, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Springs, FL
  • NPI 1477051498
  NPD
• Total Family Health Care Center Inc

  • Community/Behavioral Health Agency
  • Sunrise, FL
  • NPI 1174775662
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1447898218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9734 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "954-903-1323",
            "fax_number": "786-664-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9734 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "954-903-1323",
            "fax_number": "786-664-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMABUCO",
        "first_name": "GUSTAVO",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5203997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Alisa Sherwood, LCSW
• Neeketa Sheth, PHARMD
• Shiela Loyola
• Paige Loren Shiffman, LMHC
• David L Shifrin, M.D.
• Shine Healthcare Group LLC
• Niranjan J Shintre, M.D.
• Doreen Shipe, M.A.
• Rebecca Hana Shippee, DMD
• Erin Short

• Licensed Practical Nurse in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.