Individual provider Active NPI

Ricardo Avila Guevara, SA-C

  • Registered Nurse
  • Miramar, FL
National Provider Identifier
1689155657
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
838570 Issued in NY
Practice address
4060 SW 158TH Ave # 63
Miramar, FL 33027-4834
Phone
(754) 368-5715
NPI assigned
Aug 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 838570 NY Primary
Surgical Assistant 246ZC0007X 18369 WI

Addresses

Primary practice location

4060 SW 158TH Ave # 63
Miramar, FL 33027-4834

Mailing address

4060 SW 158TH Ave # 63
Miramar, FL 33027-4834
Phone (754) 368-5715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1689155657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 SW 158TH AVE # 63",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274834",
            "telephone_number": "754-368-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 SW 158TH AVE # 63",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274834",
            "telephone_number": "754-368-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA GUEVARA",
        "first_name": "RICARDO",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "838570",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "18369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.