Individual provider Active NPI

Guillermo A. Lievano Jr., DO

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1992785026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS9531 Issued in FL
Practice address
8950 N Kendall Dr
Suite 302
Miami, FL 33176-2144
Phone
(305) 595-4049
Fax
(305) 595-3526
NPI assigned
Jan 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS9531 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr
Suite 302
Miami, FL 33176-2144

Mailing address

8950 N Kendall Dr
Suite 302
Miami, FL 33176-2144
Phone (305) 595-4049

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000138 FL Practitioner - Obstetrics/Gynecology 8224065040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS9531FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
All Womens Healthcare of South Florida Inc Obstetrics & Gynecology Past Accepting new patients
Personal Physicians LLC Obstetrics & Gynecology PastSince Mar 1, 2009 Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8525 SW 92nd St
Ste D13
Miami, FL 33156
Phone (305) 270-3562

8525 SW 92nd St
Ste D14
Miami, FL 33156
Phone (305) 271-4904

8720 SW 88th St
Ste 115
Miami, FL 33176
Phone (305) 446-2444

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8950 N Kendall Dr
Ste 302
Miami, FL 33176
Phone (305) 595-4049

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

17901 NW 5th St
Ste 202
Pembroke Pines, FL 33029
Phone (954) 442-8722

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

91555 Overseas Hwy
Ste 3
Tavernier, FL 33070
Phone (305) 304-8090

13001 State Road 80
Westlake, FL 33470
Phone (561) 784-3127

Organizations & group practices 7

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992785026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-595-4049",
            "fax_number": "305-595-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-595-4049",
            "fax_number": "305-595-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVANO",
        "first_name": "GUILLERMO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS9531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.