Individual provider Active NPI

Juan Miguel Guzman Otero

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1992314058
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008281 Issued in FL
Practice address
7811 Coral Way Ste 138
Miami, FL 33155-6540
Phone
(786) 266-1652
Fax
(786) 266-1653
NPI assigned
Jul 24, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008281 FL Primary

Addresses

Primary practice location

7811 Coral Way Ste 138
Miami, FL 33155-6540

Mailing address

7520 SW 18TH St
Miami, FL 33155-1522
Phone (786) 266-1652

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028002322 FL Practitioner - Nurse Practitioner 7618365362 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11008281FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aaa Mental Health and Community Services LLC Family CurrentSince Feb 4, 2022 Accepting new patients
C'a Medical Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Aaa Mental Health and Community Services LLC PastSince Sep 21, 2025 Accepting new patients
Saint Peter Home Health Care Agency Inc PastSince Aug 2, 2020 Accepting new patients

Locations

5086 NW 74th Ave
Miami, FL 33166
Phone (305) 562-4396

9600 SW 8th St
Ste 25
Miami, FL 33174
Phone (786) 542-6933

Interoperability endpoints

  • Direct secure messaging: juan.guzman@spmc-fl.direct.office.nextgen.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1992314058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 SW 18TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551522",
            "telephone_number": "786-266-1652",
            "fax_number": "305-266-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 CORAL WAY STE 138",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "786-266-1652",
            "fax_number": "786-266-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN OTERO",
        "first_name": "JUAN",
        "middle_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.