Guillermo Alfredo Granados, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103857 Issued in FL

Practice address

1770 NE Miami Gardens Dr
Miami, FL 33179-5301

Phone

(305) 949-7990

Fax

(305) 949-3523

NPI assigned

Apr 25, 2008

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Med IncGroup PAC ID 9234115460, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: guillermo.granados@3689.securemail.prognocis.com

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.

• Urgent Med Inc

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1902994908
  Medicare reassignment Care Compare group
• Doctors House Calls of Florida, LLC

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1750756276
  Medicare reassignment
• Janna Health Care Group LLC

  • Urgent Care Clinic/Center
  • Coral Springs, FL
  • NPI 1801075791
  NPD (past)
• Jir Financial Group Inc

  • Urgent Care Clinic/Center
  • Miami, FL
  • NPI 1235239534
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1801061296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-949-7990",
            "fax_number": "305-949-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-949-7990",
            "fax_number": "305-949-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "GUILLERMO",
        "middle_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hebert Cabrera Granado
• Omar Granado
• Paola Granados-Radlick, PSY.D.
• Andrea Granados, MD
• Carlos Teofilo Granados, M.D.
• Kenia Granados
• Stacey Amelia Granados
• Vanessa Maria Granados
• Grand 7TH Pharmacy by Kwik Stop LLC
• Grand 7TH Pharmacy Stop Inc

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.

Verify at the official NPI Registry.