Organization Active NPI

Specialist Consultation Network LLC

  • Specialist
  • Pembroke Pines, FL
National Provider Identifier
1730907460
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPECIALIST CONSULTATION NETWORK LLC
Practice address
737 NW 135TH Ave
Pembroke Pines, FL 33028-3157
Phone
(786) 200-7553
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Winston Guevara, ARNPNPI 1932674785
Title
Arnp
Phone
(786) 200-7553

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

737 NW 135TH Ave
Pembroke Pines, FL 33028-3157

Mailing address

737 NW 135TH Ave
Pembroke Pines, FL 33028-3157

Other names 1

  • SPECIALIST CONSULTATION NETWORK LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025002603 FL Part B Supplier - Clinic/Group Practice 3375076557 Receives reassigned benefits from 7 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1730907460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 NW 135TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 NW 135TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283157",
            "telephone_number": "786-200-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST CONSULTATION NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "786-200-7553",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALIST CONSULTATION NETWORK LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SPECIALIST CONSULTATION NETWORK LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.