Jorge A Guerrero, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104178 Issued in FL

Practice address

401 SW 42ND Ave
Ste 200
Coral Gables, FL 33134-1938

Phone

(305) 443-4493

Fax

(305) 443-4496

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Criticare Clinics Inc

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1508871948
  Medicare reassignment
• Eduardo Gonzalez-Hernandez MD PLLC

  • Specialist
  • Miami, FL
  • NPI 1790910982
  Medicare reassignment
• Mercy Hospital Inc

  • Physician Assistant
  • Miami, FL
  • NPI 1639236839
  NPD (past)
• Miami Hand Center, PL

  • Specialist
  • Miami, FL
  • NPI 1588615678
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1811108491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 42ND AVE",
            "address_2": "STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341938",
            "telephone_number": "305-443-4493",
            "fax_number": "305-443-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 42ND AVE",
            "address_2": "STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341938",
            "telephone_number": "305-443-4493",
            "fax_number": "305-443-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001833",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AI414Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929716 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010253926",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatriz Guerra
• Edy Augusto Guerra, DDS
• Oscar R. Guerra, MD
• Yoslaine Guerra
• Carlos Gustavo Guerrero
• Lauren Guerrero
• Lucibel Guerrero
• Ilse Johanna Guevara, FNP
• Jesus Alberto Guevara, PHARMACIST INTERN
• Nubia Esperanza Guevara, PT

• Surgical Physician Assistant in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.