Active NPI
Nestor M. Guerrero, M.D., P.a.
- General Practice Physician
- Dade City, FL
National Provider Identifier
1720381759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME43778
- Legal business name
- NESTOR M. GUERRERO, M.D., P.A.
- Practice address
- 37740 Meridian Ave
Dade City, FL 33525-4221 - Phone
- (352) 521-3266
- Fax
- (352) 521-3267
- NPI assigned
- Dec 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nestor Manuel Guerrero, M.D.
- Title
- President
- Phone
- (352) 521-3266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME43778 | FL | Primary |
Addresses
Primary practice location
37740 Meridian Ave
Dade City, FL 33525-4221
Mailing address
37740 Meridian Ave
Dade City, FL 33525-4221
Phone (352) 521-3266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046516000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
37740 Meridian Ave
Dade City, FL 33525
Phone (352) 437-5970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1720381759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37740 MERIDIAN AVE",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254221",
"telephone_number": "352-521-3266",
"fax_number": "352-521-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37740 MERIDIAN AVE",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254221",
"telephone_number": "352-521-3266",
"fax_number": "352-521-3267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NESTOR M. GUERRERO, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "GUERRERO",
"authorized_official_first_name": "NESTOR",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-521-3266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ME43778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046516000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.