Luis Rafael Marin Guillent, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2887 Issued in PR

Practice address

15689 US Highway 19 N
Thomasville, GA 31792-2622

Phone

(229) 225-3912

NPI assigned

Dec 30, 2016

Last updated

Dec 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1568907467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15689 US HIGHWAY 19 N",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317922622",
            "telephone_number": "229-225-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15689 US HIGHWAY 19 N",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317922622",
            "telephone_number": "229-225-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN GUILLENT",
        "first_name": "LUIS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-30",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2887",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "16-596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Magbalon, MD
• Christina Maher, DPT
• Rachel Lauren Maher, LAT, ATC
• John A Mansberger
• Catherine Marchant, LCSW
• Mark G. Wood M.D. (Southwest Georgia Nephrology & Hypertension Center)
• Adam Thomas Marler, MD
• Andre Hadley Marria, LPC, CPCS
• Jillian Martell
• Matthew Moree DMD, LLC

• Physician Assistant in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.