Active NPI
Jose Luis Hernandez Guevara
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11034669
- Practice address
- 10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783 - Phone
- (305) 541-9709
- Fax
- (305) 541-9304
- NPI assigned
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11034669 | FL | Primary |
Addresses
Primary practice location
10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783
Mailing address
10201 Hammocks Blvd Ste 122
Miami, FL 33196-3783
Phone (305) 541-9709
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260310003577 | FL | Practitioner - Nurse Practitioner | 7810419231 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10201 Hammocks Blvd
Suite 122
Miami, FL 33196-3791
10300 SW 72ND St
Suite 380
Miami, FL 33173-3020
14740 SW 26TH St
Suite 107
Miami, FL 33185-5948
2054 Vista Pkwy
Suite 400
West Palm Beach, FL 33411-6759
2450 SW 137TH Ave
Suite 226
Miami, FL 33175-6332
6039 Collins Ave
Apt 901
Miami Beach, FL 33140-2203
813 SW 153Rd Path
Miami, FL 33194-2725
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11034669 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Clinical Center Corp | Current | Accepting new patients | |
| Mobile NP of the Palm Beaches LLC | Current | Accepting new patients | |
| Kendall South Medical Center Inc | Past | Accepting new patients |
Locations
10201 Hammocks Blvd
Ste 122
Miami, FL 33196
Phone (305) 541-9709
2054 Vista Pkwy
Ste 400
West Palm Beach, FL 33411
Phone (561) 216-0006
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- West Palm Beach, FL
- NPI 1245049907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1891526679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 HAMMOCKS BLVD STE 122",
"city": "MIAMI",
"state": "FL",
"postal_code": "331963783",
"telephone_number": "305-541-9709",
"fax_number": "305-541-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 HAMMOCKS BLVD STE 122",
"city": "MIAMI",
"state": "FL",
"postal_code": "331963783",
"telephone_number": "305-541-9709",
"fax_number": "305-541-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GUEVARA",
"first_name": "JOSE",
"middle_name": "LUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-12",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11034669",
"primary": true
}
],
"identifiers": [],
"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 Mar 3, 2026; 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.
- 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.