Active NPI
Rafael Sanchez Guerra, OD
- Optometrist
- Miami Gardens, FL
National Provider Identifier
1912068990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 2674
- Practice address
- 19501 SW 27 Ave
Miami Gardens, FL 33056 - Phone
- (305) 622-7202
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 2674 | FL | Primary |
Addresses
Primary practice location
19501 SW 27 Ave
Miami Gardens, FL 33056
Mailing address
9101 SW 82ND Ave
Coral Gables, FL 33156-7451
Phone (786) 280-9870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084752600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 2674 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912068990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 SW 82ND AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331567451",
"telephone_number": "786-280-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19501 SW 27 AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "33056",
"telephone_number": "305-622-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ GUERRA",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 2674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084752600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.