Guadalupe Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GUADALUPE MEDICAL CENTER INC

Practice address

4469 S Congress Ave Ste 106
Lake Worth, FL 33461-4726

Phone

(561) 642-0768

Fax

(561) 642-0769

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Olga Virginia Rosazza

Title

Office Manager

Phone

(561) 642-0768

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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

• Aylen Diaz Garcia, APRN

  • Family Nurse Practitioner
  • Palm Springs, FL
  • NPI 1306561436
  NPD
• Mario Ivan Galiano-Cevallos, P.A

  • Physician Assistant
  • Lake Worth, FL
  • NPI 1710099213
  NPD
• Jacobo Elgozy, DO

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1518165737
  NPD (past)
• Bertha Marcellino, MD

  • General Practice Physician
  • Palm Springs, FL
  • NPI 1033144001
  NPD (past)
• Jose Antonio Prieto-Hernandez, M D

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1972535979
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1861504342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 S CONGRESS AVE STE 106",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614726",
            "telephone_number": "561-642-0768",
            "fax_number": "561-642-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 S CONGRESS AVE STE 106",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614726",
            "telephone_number": "561-642-0768",
            "fax_number": "561-642-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "ROSAZZA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-642-0768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269435200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon L Grenn
• Nichole Grim
• Tyler Grinstead
• Lenoska Grose, PTA
• Greisy Grueiro Garcia
• Joshua Guadalupe, CNA
• Guatemalan-Maya Center
• Rick Ernest Gue
• Kimberly L Guelig, IBCLC
• Luz Dary Guerra Rivera, SA-C

• Family Medicine Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.