R Guillen MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

233234 Issued in NY

Legal business name

R GUILLEN MD PC

Practice address

800 Grand Concourse FRNT Office5
Bronx, NY 10451-3003

Phone

(718) 401-2300

Fax

(718) 401-2322

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Antonio Guillen, MDNPI 1861430076

Title

Medical Doctor

Phone

(718) 401-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael A. Guillen, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1861430076
  Medicare reassignment NPD Authorized official
• Sobeira A Guillen, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1013177997
  NPD

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1467612499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CONCOURSE FRNT OFFICE5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "718-401-2300",
            "fax_number": "718-401-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CONCOURSE FRNT OFFICE5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "718-401-2300",
            "fax_number": "718-401-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R GUILLEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-401-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "233234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.