Alejandra Daniella Guzman, PA-C
Individual provider Active NPI Physician Assistant · Coconut Grove, FL
NPI 1629809447 · NPPES record last updated Oct 13, 2024
Key facts
- NPI
- 1629809447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9119018 (FL)
- Practice address
- 2734 SW 37TH Ave
Coconut Grove, FL 33133-2728 - Phone
- (305) 642-4263
- NPI assigned
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Miami Hand PLLC
Practice addresses (Care Compare)
2734 SW 37TH Ave
Coconut Grove, FL 33133-2728
Phone (305) 642-4263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009000457 | FL | Practitioner - Physician Assistant | 6305377714 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119018 | FL | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA9119018 | FL | Yes |
Addresses
Primary practice location
2734 SW 37TH Ave
Coconut Grove, FL 33133-2728
Mailing address
2734 SW 37TH Ave
Coconut Grove, FL 33133-2728
Phone (305) 642-4263
Other providers in Coconut Grove, FL
- Grand Living 21, LLC
- Phyllis Green
- Martin Allen Grossman
- Grove Med Plus Inc
- Altagrace Lindsay Gustave
- Leah Guzman
- Karina Hasing
- Healthy Conmnections CMHC
- Healthy Connections CMHC, Inc.
- Beatriz Hechavarria
All providers in Coconut Grove, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.