Organization Active NPI

Orly Gueron, LLC

  • Exclusive Provider Organization
  • Aventura, FL
National Provider Identifier
1508295916
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MT 2306 Issued in FL
Legal business name
ORLY GUERON, LLC
Practice address
2875 NE 191St St
Suite 538
Aventura, FL 33180-2801
Phone
(305) 924-6555
Fax
(305) 924-6555
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Orly GueronNPI 1932412160
Title
Director
Phone
(305) 924-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MT 2306 FL Primary

Addresses

Primary practice location

2875 NE 191St St
Suite 538
Aventura, FL 33180-2801

Mailing address

2875 NE 191St St
Suite 538
Aventura, FL 33180-2801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1508295916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 NE 191ST ST",
            "address_2": "SUITE 538",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 NE 191ST ST",
            "address_2": "SUITE 538",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802801",
            "telephone_number": "305-924-6555",
            "fax_number": "305-924-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLY GUERON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "GUERON",
        "authorized_official_first_name": "ORLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-924-6555"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "MT 2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.