NPIMap

Organization Active NPI

Guillermo Valenzuela MD PA

Doing business as Integral Rheumatology & Immunology Specialists

  • Rheumatology Physician
  • Plantation, FL
National Provider Identifier
1740549260
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
GUILLERMO VALENZUELA MD PA
Doing business as
Integral Rheumatology & Immunology Specialists
Practice address
140 SW 84TH Ave
Suite B
Plantation, FL 33324-2736
Phone
(954) 476-2338
Fax
(954) 476-5695
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Guillermo Valenzuela, MDNPI 1245252402
Title
President
Phone
(954) 476-2338

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

140 SW 84TH Ave
Suite B
Plantation, FL 33324-2736

Mailing address

140 SW 84TH Ave
Suite B
Plantation, FL 33324-2736
Phone (954) 476-2338

Other names 1

  • Integral Rheumatology & Immunology Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120706000150 FL Part B Supplier - Clinic/Group Practice 6507021037 Receives reassigned benefits from 6 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1740549260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW 84TH AVE",
            "address_2": "SUITE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242736",
            "telephone_number": "954-476-2338",
            "fax_number": "954-476-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 84TH AVE",
            "address_2": "SUITE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242736",
            "telephone_number": "954-476-2338",
            "fax_number": "954-476-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO VALENZUELA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-476-2338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integral Rheumatology & Immunology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

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