Organization Active NPI

Freddy Guerrero DDS PA

  • Dental Clinic/Center
  • Doral, FL
National Provider Identifier
1831716018
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FREDDY GUERRERO DDS PA
Practice address
3650 NW 82ND Ave
Doral, FL 33166-6658
Phone
(305) 722-0605
NPI assigned
Jul 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Freddy GuerreroNPI 1578689360
Title
Authorized Official
Phone
(305) 722-0605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3650 NW 82ND Ave
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave
Doral, FL 33166-6658
Phone (305) 722-0605

Other identifiers 1

IdentifierTypeStateIssuer
DN11602OtherFLLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1831716018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-722-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-722-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDY GUERRERO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-722-0605"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN11602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.