Guillermo Edgardo Guerra, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11021848 Issued in FL

Practice address

2056 N Dixie Hwy
Wilton Manors, FL 33305-2270

Phone

(954) 561-3663

Fax

(954) 566-7868

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: guillermo.guerra.1@14958.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Medical Center Inc

  • Clinic/Center
  • Miramar, FL
  • NPI 1700270139
  Medicare reassignment NPD
• The Poverello Center Inc

  • Voluntary or Charitable Agency
  • Wilton Manors, FL
  • NPI 1821021361
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1992824692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 NW 19TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333094415",
            "telephone_number": "832-713-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 N DIXIE HWY",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052270",
            "telephone_number": "954-561-3663",
            "fax_number": "954-566-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "GUILLERMO",
        "middle_name": "EDGARDO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty A Gottfried, D.D.S.
• Ian Cleaent Griffin, LCSW
• Erley Grinan Lobaina
• Anthony NMN Guarisco Jr., BSW
• James Guerin
• Leonard Joseph Guidone, DC
• Jacqueline Dell Gunn, O.D.
• Janet Ann Gunn
• Rick Gunsallus, LMHC
• Odin Gutierrez, A.P.

• Family Nurse Practitioner in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.