Active NPI
Guillermo Rogerio Tinoco Cifuentes, PA
- Physician Assistant
- Newberry, FL
National Provider Identifier
1942012166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001781-PA
- Practice address
- 1325 NW 132ND Cir
Newberry, FL 32669-0289 - Phone
- (352) 870-1236
- NPI assigned
- Jan 24, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001781-PA | PR | Primary |
Addresses
Primary practice location
1325 NW 132ND Cir
Newberry, FL 32669-0289
Mailing address
1325 NW 132ND Cir
Newberry, FL 32669-0289
Phone (352) 870-1236
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001781-PA | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1942012166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 NW 132ND CIR",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326690289",
"telephone_number": "352-870-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 NW 132ND CIR",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326690289",
"telephone_number": "352-870-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINOCO CIFUENTES",
"first_name": "GUILLERMO",
"middle_name": "ROGERIO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "001781-PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.