Enrique Ficy Guillen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045832 Issued in NY

Practice address

759 4TH Ave
Brooklyn, NY 11232-1416

Phone

(718) 832-1194

Fax

(718) 369-6831

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• 3545 Johnson Blvd Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1124759527
  Medicare reassignment NPD
• 43 Chruch Street Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1356097869
  Medicare reassignment NPD
• Alejandro Williams Dental Office PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1508037466
  Medicare reassignment NPD
• Bonita Sonrisa Dental Mso

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1790325884
  Medicare reassignment NPD
• Spore Test Inc

  • Dentist
  • Bronx, NY
  • NPI 1902533342
  Medicare reassignment
• M&G Dental Center

  • Dentist
  • Brooklyn, NY
  • NPI 1689920860
  Authorized official Same address or phone
• Bonita Sonrisa Dental Ipa

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1700343233
  NPD

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1932374121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321416",
            "telephone_number": "718-832-1194",
            "fax_number": "718-369-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321416",
            "telephone_number": "718-832-1194",
            "fax_number": "718-369-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "ENRIQUE",
        "middle_name": "FICY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erzuli Guillaume
• Melissa Daniella Guillaume, MD
• Patrice Pierre-Andre Guillaume
• Ruth Guillaume
• Christina D. Guillen, M.D.
• Eulenis Guillen, MA PSYCHOLOGY
• Guillermo Gilberto Gallardo MD PLLC
• Mary E Guillermo, LCAT, R-DMT
• Andre D. Guillet, D.P.M.
• Maiya Guillory, CNM

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.