Alexandra Guanco, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26654 Issued in FL

Practice address

6175 NW 153Rd St
Suite #325
Miami Lakes, FL 33014-2435

Phone

(305) 556-0315

Fax

(305) 556-0317

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1750660353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST",
            "address_2": "SUITE #325",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST",
            "address_2": "SUITE #325",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435",
            "telephone_number": "305-556-0315",
            "fax_number": "305-556-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANCO",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.