Active NPI
Jesus Alberto Guevara, PHARMACIST INTERN
- Pharmacy Technician
- Coral Gables, FL
National Provider Identifier
1962619726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PSI17446
- Practice address
- 236 Madeira Ave Apt 8
Coral Gables, FL 33134-3959 - Phone
- (305) 726-1173
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PSI17446 | FL | Primary |
Addresses
Primary practice location
236 Madeira Ave Apt 8
Coral Gables, FL 33134-3959
Mailing address
236 Madeira Ave Apt 8
Coral Gables, FL 33134-3959
Phone (305) 726-1173
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 |
|---|---|---|---|
| PSI17446 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962619726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 MADEIRA AVE APT 8",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343959",
"telephone_number": "305-726-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 MADEIRA AVE APT 8",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343959",
"telephone_number": "305-726-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "JESUS",
"middle_name": "ALBERTO",
"credential": "PHARMACIST INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "PSI17446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, 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.