Organization Active NPI

Dr Carlos Guerra PA

  • Infectious Disease Physician
  • Oakland Park, FL
National Provider Identifier
1720383060
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 103544 Issued in FL
Legal business name
DR CARLOS GUERRA PA
Practice address
5601 N Dixie Hwy
#107
Oakland Park, FL 33334-4148
Phone
(954) 493-9752
Fax
(954) 493-9472
NPI assigned
Jan 18, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Carlos O Guerra, M.D.NPI 1992902753
Title
Owner
Phone
(954) 232-9539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME 103544 FL Primary

Addresses

Primary practice location

5601 N Dixie Hwy
#107
Oakland Park, FL 33334-4148

Mailing address

5601 N Dixie Hwy
#107
Oakland Park, FL 33334-4148
Phone (954) 493-9752

Other identifiers 2

IdentifierTypeStateIssuer
1992902753OtherFLINDIVIDUAL NPI
ME 103544OtherFLLICENSURE

National Provider Directory

National Provider Directory

Locations

5601 N Dixie Hwy
#107
Oakland Park, FL 33334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1720383060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "#107",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-493-9752",
            "fax_number": "954-493-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "#107",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-493-9752",
            "fax_number": "954-493-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARLOS GUERRA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-232-9539",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 103544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1992902753",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "ME 103544",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

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