Active NPI
Luis Alfredo Guerrero, M.D.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME120801
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103119500 | Medicaid | FL |
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
Enrollment records 1
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 IncLegacy Healthcare Services Inc
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
- Adventhealth Waterman
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0079122 | MD | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- 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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Leesburg, FL
- NPI 1891290938
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- Home Health Agency
- Leesburg, FL
- NPI 1841884251
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.