Individual provider Active NPI

Guillermo Juan Llosa, M.D.

  • Pediatric Adolescent Medicine Physician
  • Miami, FL
National Provider Identifier
1720077308
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME0038885 Issued in FL
Practice address
11400 N Kendall Dr
Suite A211
Miami, FL 33176-1029
Phone
(305) 274-2255
Fax
(305) 274-2211
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME0038885 FL Primary

Addresses

Primary practice location

11400 N Kendall Dr
Suite A211
Miami, FL 33176-1029

Mailing address

11400 N Kendall Dr
Suite A211
Miami, FL 33176-1029
Phone (305) 274-2255

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0038885FLMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Past Accepting new patients
Kendall Pediatrics Adolescent Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720077308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE A211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-274-2255",
            "fax_number": "305-274-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE A211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-274-2255",
            "fax_number": "305-274-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOSA",
        "first_name": "GUILLERMO",
        "middle_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME0038885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.