Sergio Guiteau, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME132228 Issued in FL

Practice address

1 SW 129TH Ave Ste 205
Pembroke Pines, FL 33027

Phone

(954) 800-1991

Fax

(808) 731-8348

NPI assigned

Apr 25, 2011

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Sports Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sguiteau242417@mhsdirect.net

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.

• South Florida Sports and Preventive Medicine Inc

  • Medical Specialty Clinic/Center
  • Miramar, FL
  • NPI 1790246148
  Medicare reassignment NPD Authorized official
• Fastcare LLC

  • Urgent Care Clinic/Center
  • Aventura, FL
  • NPI 1972525012
  Medicare reassignment NPD
• South Broward Hospital District

  dba Memorial Urgent Care Center

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1457899684
  Medicare reassignment NPD
• Apex Medical Associates LLC

  • Surgery Physician
  • Plantation, FL
  • NPI 1538931522
  NPD
• South Broward Hospital District

  dba Memorial Home Infusion

  • Home Infusion Therapy Pharmacy
  • Miramar, FL
  • NPI 1043656614
  NPD
• Dwic of Tampa Bay, Inc

  dba MedExpress Urgent Care - Hudson, State Road 52

  • Urgent Care Clinic/Center
  • Hudson, FL
  • NPI 1598132490
  NPD (past)

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1720379753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 84TH AVE APT 440",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241874",
            "telephone_number": "516-849-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-800-1991",
            "fax_number": "808-731-8348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 NE 207th St Ste B17",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803705",
            "country_code": "US",
            "telephone_number": "305-306-8376",
            "fax_number": "305-306-8373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 SW 129th Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33027",
            "country_code": "US",
            "telephone_number": "954-800-1991",
            "fax_number": "808-731-8348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330202275",
            "country_code": "US",
            "telephone_number": "954-276-1565",
            "fax_number": "954-927-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUITEAU",
        "first_name": "SERGIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME132228",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME132228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "1 SW 129th Ave Ste 205",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330271717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sguiteau242417@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1740 Sheridan St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330202275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariell Andrea Guillen
• Ramiro E Guillen
• Marieny E Guimera-Revelo, M.D
• Ximena Guimet, PA
• Liliam Paola Guio Reyes, MD
• Carly Anne Gunderson, DO
• Priyanka P Gupta, MD
• Amparo R Gusman
• Gustavo a Batista MD PA
• Yanelis Gutierrez Rodriguez, RBT

• Sports Medicine (Family Medicine) Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.