Individual provider Active NPI

Rasa Guzeviciene

  • Physician Assistant
  • Aventura, FL
National Provider Identifier
1790082246
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9105717 Issued in FL
Practice address
20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone
(305) 933-8433
Fax
(305) 933-9115
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9105717 FL Primary

Addresses

Primary practice location

20814 W Dixie Hwy
Aventura, FL 33180-1147

Mailing address

20814 W Dixie Hwy
Aventura, FL 33180-1147
Phone (305) 933-8433

Other names 1

  • Rasa Guzeviciene Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9105717FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1790082246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433",
            "fax_number": "305-933-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20814 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-933-8433",
            "fax_number": "305-933-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZEVICIENE",
        "first_name": "RASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9105717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASA",
            "last_name": "GUZEVICIENE",
            "credential": "P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.