Organization Active NPI

Ramon a Guevara D.O.,P.a.

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1720388689
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAMON A GUEVARA D.O.,P.A.
Practice address
45 NW 8TH St
Suite 110
Homestead, FL 33030-4452
Phone
(305) 248-1900
Fax
(305) 248-1902
NPI assigned
Oct 26, 2010
Organization subpart
Yes
Parent organization
RAMON A. GUEVARA D.O.,P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Ramon A Guevara, DONPI 1881607661
Title
President
Phone
(305) 361-6232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X OS6587 FL

Addresses

Primary practice location

45 NW 8TH St
Suite 110
Homestead, FL 33030-4452

Mailing address

45 NW 8TH St
Suite 110
Homestead, FL 33030-4452
Phone (305) 248-1900

Other identifiers 2

IdentifierTypeStateIssuer
373671700MedicaidFL
002958900MedicaidFL

Other names 2

  • Valor Medical Centers Doing business as
  • West Kendall Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210907000578 FL Part B Supplier - Clinic/Group Practice 1254737901 Receives reassigned benefits from 2 practitioners
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory
Tax ID family
Ramon a Guevara Dopa3 organizations share this tax ID, including this one
Part of
Ramon a Guevara Dopa

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16650 SW 88th St
Ste 105
Miami, FL 33196
Phone (305) 549-8255

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1720388689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NW 8TH ST",
            "address_2": "SUITE 110",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304452",
            "telephone_number": "305-248-1900",
            "fax_number": "305-248-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW 8TH ST",
            "address_2": "SUITE 110",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304452",
            "telephone_number": "305-248-1900",
            "fax_number": "305-248-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON A GUEVARA D.O.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAMON A. GUEVARA D.O.,P.A.",
        "enumeration_date": "2010-10-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-361-6232",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS6587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373671700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002958900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valor Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Kendall Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.