Individual provider Active NPI

Guillermo Achong, M.D.

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1477592277
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 38304 Issued in FL
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

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
ME38304FLMDObstetrics Physician
ME 38304FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.