Mario F Guillen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84093 Issued in FL

Practice address

10115 Forest Hill Blvd
Suite 104
Wellington, FL 33414-3105

Phone

(561) 793-1117

Fax

(561) 793-1762

NPI assigned

Jun 16, 2006

Last updated

Sep 15, 2011By 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 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accountable Care Hospitalist GroupGroup PAC ID 3678733342, 119 clinicians

Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Florida Hospital Medicine Services, LLC.

  dba Florida Acute Care Specialists (FLACS)

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183
  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment Care Compare group
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1346287182
  Medicare reassignment NPD
• Eastside Hospitalists Inc

  • Hospitalist Physician
  • Hollywood, FL
  • NPI 1285676957
  Medicare reassignment NPD
• Hospitalist Group of the Palm Beaches PA

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1801249990
  Medicare reassignment NPD
• QMC LLC

  dba QMC Cares

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391
  Medicare reassignment NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  FL

  Medicare reassignment NPD
• Western Communities Internal Medicine Corp

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1043483035
  NPD (past) Authorized official
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1427631696
  NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1932782042
  NPD
• Courtney C. Watkins

  • Podiatrist
  • Coral Springs, FL
  • NPI 1245514413
  NPD (past)
• Long Life Medical Inc

  • Medically Fragile Infants and Children Day Care
  • Miami, FL
  • NPI 1316912975
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delray Medical Center, Inc.

  dba Delray Medical Center

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• Good Samaritan Medical Center, Inc.

  dba Good Samaritan Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  dba Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1952345324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-793-1117",
            "fax_number": "561-793-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-793-1117",
            "fax_number": "561-793-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "MARIO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84093",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME 84093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266849100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Grossmayer, LCSW
• Guardian Angel Monitors
• Jennifer E Guest, ED.S.
• Guidewell Sanitas I, LLC
• Guiding Light Wellness Center LLC
• Ishan A Gunawardene, M.D
• Shariffa Gunawardene, ARNP
• Cesar Alonso Gutierrez, COTA
• Andrew Guvetis, PHARMD
• Tatiana Habanova, DC, DACNB

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.