Organization Active NPI

Guillermo Marrero MD PA

Doing business as Oviedo Healthcare

  • Internal Medicine Physician
  • Oviedo, FL
National Provider Identifier
1477845303
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074991 Issued in FL
Legal business name
GUILLERMO MARRERO MD PA
Doing business as
Oviedo Healthcare
Practice address
1000 Executive Dr
Suite 1
Oviedo, FL 32765-8140
Phone
(407) 971-1970
Fax
(407) 331-4333
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Guillermo Marrero, M.D.NPI 1245211044
Title
Director
Phone
(407) 971-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0074991 FL Primary

Addresses

Primary practice location

1000 Executive Dr
Suite 1
Oviedo, FL 32765-8140

Mailing address

1000 Executive Dr
Suite 1
Oviedo, FL 32765-8140
Phone (407) 971-1970

Other names 1

  • Oviedo Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000127 FL Part B Supplier - Clinic/Group Practice 1052576816 Receives reassigned benefits from 1 practitioner
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

1000 Executive Dr
Ste 1
Oviedo, FL 32765
Phone (407) 971-1970

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1477845303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE DR",
            "address_2": "SUITE 1",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658140",
            "telephone_number": "407-971-1970",
            "fax_number": "407-331-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE DR",
            "address_2": "SUITE 1",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658140",
            "telephone_number": "407-971-1970",
            "fax_number": "407-331-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO MARRERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-971-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oviedo Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.