Organization Active NPI

Nestor M. Guerrero, M.D., P.a.

  • General Practice Physician
  • Dade City, FL
National Provider Identifier
1720381759
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME43778 Issued in FL
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

Updated by the provider on May 16, 2011

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
046516000MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.