Active NPI
Rene O Guedes de Las Casas, CSA
- Surgical Technologist
- Miami, FL
National Provider Identifier
1942571112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 11109
- Practice address
- 3661 S Miami Ave
Suite 708
Miami, FL 33133-4236 - Phone
- (305) 858-9879
- Fax
- (305) 856-0199
- NPI assigned
- Jan 20, 2012
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 11109 | FL | Primary |
Addresses
Primary practice location
3661 S Miami Ave
Suite 708
Miami, FL 33133-4236
Mailing address
3661 S Miami Ave
Suite 708
Miami, FL 33133-4236
Phone (305) 858-9879
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11109 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1942571112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 708",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-858-9879",
"fax_number": "305-856-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 S MIAMI AVE",
"address_2": "SUITE 708",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334236",
"telephone_number": "305-858-9879",
"fax_number": "305-856-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEDES DE LAS CASAS",
"first_name": "RENE",
"middle_name": "O",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "FL",
"license": "11109",
"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 Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.