Individual provider Active NPI

Jose Luis Hernandez Guevara

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891526679
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034669 Issued in FL
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

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11034669FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Clinical Center Corp CurrentSince Jan 27, 2026 Accepting new patients
Mobile NP of the Palm Beaches LLC CurrentSince Mar 4, 2026 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.

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

Verify at the official NPI Registry.