Guillermo Somodevilla MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0049294 Issued in FL

Legal business name

GUILLERMO SOMODEVILLA MD PA

Practice address

12750 NW 17TH St Unit 214
Miami, FL 33182-1422

Phone

(305) 269-0385

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Somodevilla, M.D.NPI 1124113782

Title

President

Phone

(305) 269-0385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Guillermo Somodevilla, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1124113782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1679749998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "305-269-0385",
            "fax_number": "305-269-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "305-269-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO SOMODEVILLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "SOMODEVILLA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-269-0385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0049294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Guillermez
• Guillermo a. Fonseca M.D., PA
• Yeni Guillermo Delgado, PTA
• Guillermo Jimenez PA-C PA
• Guillermo P Gubbins MD PA
• Ivette Guillermo, D.M.D.
• Maidely Elsa Guilleuma, APRN
• Christian Rafael Guilliod, MD
• Carolina Guillot, MD
• Guilservices LLC

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.