NPIMap

Individual provider Active NPI

Jose M Cardona-Guzman, MD

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1861709230
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME119967 Issued in FL
Practice address
12905 SW 42ND St Ste 213
Miami, FL 33175-2912
Phone
(786) 507-8830
NPI assigned
Sep 8, 2010
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME119967 FL Primary
Hospitalist Physician 208M00000X ME119967 FL

Addresses

Primary practice location

12905 SW 42ND St Ste 213
Miami, FL 33175-2912

Mailing address

PO Box 652256
Miami, FL 33265-2256

Other practice location 1

1400 NW 10th Ave Ste 807A
Dpt of Medicine. Attn: Angie Saint Jean
Miami, FL 33136-1031
Phone (305) 243-8417

Other practice location 2

747 Ponce De Leon Blvd Ste 605
Coral Gables, FL 33134-2074
Phone (305) 407-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140724001733 FL Practitioner - Internal Medicine 1456597707 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Care Dialysis Center LLCGroup PAC ID 7214303080, 3 clinicians
Complete Medical Management LLCGroup PAC ID 6305256678, 24 clinicians

Practice addresses (Care Compare)

10550 NW 77TH CT
Suite 405
Hialeah Gardens, FL 33016-2073
Phone (305) 646-1092

12905 SW 42 St
Miami, FL 33172-2912
Phone (305) 705-5651

9415 Sunset Dr
Suite 151
Miami, FL 33173-5492

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC Hospitalist CurrentSince Jun 24, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2014 Accepting new patients
Cape Coral Hospitalists Inc CurrentSince Nov 1, 2016 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2014 Accepting new patients
Complete Medical Management, LLC. Hospitalist CurrentSince Feb 18, 2021 Accepting new patients
Arc Dialysis Hialeah LLC Past Accepting new patients
Arc Dialysis Miami Lakes, LLC PastSince Nov 1, 2019 Accepting new patients
Arc Dialysis North Dade LLC PastSince May 10, 2020 Accepting new patients
Arc Dialysis Perrine LLC PastSince Feb 2, 2020 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

9415 Sunset Dr
Ste 151
Miami, FL 33173
Phone (305) 315-2707

955 NW 3rd St
Ste 110
Miami, FL 33128
Phone (305) 545-3090

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1861709230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652256",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332652256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752912",
            "telephone_number": "786-507-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 NW 10th Ave Ste 807A",
            "address_2": "Dpt of Medicine. Attn: Angie Saint Jean",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361031",
            "country_code": "US",
            "telephone_number": "305-243-8417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 Ponce De Leon Blvd Ste 605",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331342074",
            "country_code": "US",
            "telephone_number": "305-407-9900",
            "fax_number": "833-831-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA-GUZMAN",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME119967",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME119967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.