Jorge Inocencio Pupo Guerra, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11022567 Issued in FL

Practice address

1060 Cypress Pkwy Unit 101
Poinciana, FL 34759-3328

Phone

(863) 588-4775

Fax

(863) 422-7664

NPI assigned

Oct 20, 2022

Last updated

Sep 26, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jorge.pupo.1@25165.direct.athenahealth.com
• Direct secure messaging: jorge.pupo.1@6807.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soni Family Practice, PLLC

  • Family Medicine Physician
  • Davenport, FL
  • NPI 1083957583
  Medicare reassignment NPD
• SFP PC Holdings, Inc.

  • Multi-Specialty Clinic/Center
  • Davenport, FL
  • NPI 1225923667
  NPD
• Soni Family Practice, PLLC

  • Family Medicine Physician
  • Poinciana, FL
  • NPI 1912723750
  NPD

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1598482598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CYPRESS PKWY UNIT 101",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347593328",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Park Place Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376868",
            "country_code": "US",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4160 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164317",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "904-292-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUPO GUERRA",
        "first_name": "JORGE",
        "middle_name": "INOCENCIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125585100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillips,Salomon & Parrish, PA
• Kerstie Phills, PA
• Poinciana Dental
• Poinciana Dental, LLC
• Publix Super Markets Inc (Publix Pharmacy #0758)
• Redeemed Health & Wellness LLC (Redeemed Health & Wellness)
• William Reynolds, PA
• Rebecca Ann Richardson, MA, R-DMT, LMHC
• Rosiany Rivera de Jesus
• Yajaira Rivera

• Family Nurse Practitioner in Poinciana, FL
• Providers in Poinciana, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.