Organization Active NPI

Luis C Guerrero MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1821007998
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0065537 Issued in FL
Legal business name
LUIS C GUERRERO MD PA
Practice address
7811 SW 24TH St
Suite 136
Miami, FL 33155-6540
Phone
(305) 267-7411
Fax
(305) 267-6686
NPI assigned
Aug 6, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Luis C Guerrero, MD
Title
President
Phone
(305) 267-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0065537 FL Primary

Addresses

Primary practice location

7811 SW 24TH St
Suite 136
Miami, FL 33155-6540

Mailing address

7811 SW 24TH St
Suite 136
Miami, FL 33155-6540
Phone (305) 267-7411

Other identifiers 1

IdentifierTypeStateIssuer
376143600MedicaidFL

National Provider Directory

National Provider Directory

Locations

7811 SW 24th St
Ste 136
Miami, FL 33155
Phone (305) 267-7411

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1821007998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 SW 24TH ST",
            "address_2": "SUITE 136",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-267-7411",
            "fax_number": "305-267-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 SW 24TH ST",
            "address_2": "SUITE 136",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-267-7411",
            "fax_number": "305-267-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS C GUERRERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-267-7411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "0065537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376143600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.