Active NPI
Guillermo Achong, M.D.
- General Practice Physician
- Doral, FL
National Provider Identifier
1477592277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME 38304
- Practice address
- 3900 NW 79TH Ave Ste 468
Doral, FL 33166-6548 - Phone
- (305) 829-7571
- Fax
- (305) 639-3377
- NPI assigned
- Jun 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | ME38304 | FL | |
| General Practice Physician | 208D00000X | ME 38304 | FL | Primary |
Addresses
Primary practice location
3900 NW 79TH Ave Ste 468
Doral, FL 33166-6548
Mailing address
19601 West Saint Andrews Drive
Miami, FL 33015
Phone (305) 829-7571
Other names 1
- Dr. Guillermo Achong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME38304 | FL | MD | Obstetrics Physician |
| ME 38304 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Medical Services Inc | Past | Accepting new patients | |
| Healing Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1255387890
-
- Allergy & Immunology Physician
- Hialeah, FL
- NPI 1295981991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1477592277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19601 WEST SAINT ANDREWS DRIVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33015",
"telephone_number": "305-829-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE STE 468",
"city": "DORAL",
"state": "FL",
"postal_code": "331666548",
"telephone_number": "305-829-7571",
"fax_number": "305-639-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHONG",
"first_name": "GUILLERMO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "FL",
"license": "ME38304",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME 38304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GUILLERMO",
"last_name": "ACHONG",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.