Individual provider Active NPI

Luis Alfredo Guerrero, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Leesburg, FL
National Provider Identifier
1760617427
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
ME120801 Issued in FL
Practice address
8112 Centralia CT Ste 101
Leesburg, FL 34788-3701
Phone
(352) 251-2588
Fax
(352) 995-2015
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X MD042498 DC
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X D0079122 MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME120801 FL Primary

Addresses

Primary practice location

8112 Centralia CT Ste 101
Leesburg, FL 34788-3701

Mailing address

8112 Centralia CT Ste 101
Leesburg, FL 34788-3701
Phone (352) 251-2588

Other identifiers 1

IdentifierTypeStateIssuer
103119500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717003802 FL Practitioner - Physical Medicine and Rehabilitation 8921309238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Luis Alfredo Guerrero MD PLLCGroup PAC ID 5991052367, 3 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

8112 Centralia CT
Suite 101
Leesburg, FL 34788-3701
Phone (352) 251-2588

Hospital & facility affiliations

  • Classic Home Health Services Home health agency, Leesburg, FL, CCN 107786
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0079122MDMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: luis.guerrero.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1760617427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 CENTRALIA CT STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883701",
            "telephone_number": "352-251-2588",
            "fax_number": "352-995-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 CENTRALIA CT STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883701",
            "telephone_number": "352-251-2588",
            "fax_number": "352-995-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "LUIS",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DC",
            "license": "MD042498",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "D0079122",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME120801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103119500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.