Individual provider Active NPI

Enrique J Ortiz Guzman, M.D.

  • General Practice Physician
  • Haines City, FL
National Provider Identifier
1992948434
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17458 Issued in PR
Practice address
602 US Highway 17 92 N
Haines City, FL 33844-9461
Phone
(863) 858-8000
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17458 PR Primary

Addresses

Primary practice location

602 US Highway 17 92 N
Haines City, FL 33844-9461

Mailing address

13784 Beckman Dr.
Windermere, FL 34786
Phone (787) 245-1327

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
I20190627001139 FL Practitioner - Family Practice 3577714096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor Today TLC, LLCGroup PAC ID 1254313786, 7 clinicians

Practice addresses (Care Compare)

3810 S Florida Ave
Lakeland, FL 33813-1125
Phone (863) 619-5100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Today TLC, LLC CurrentSince Jun 21, 2019 Accepting new patients
Doctor Today Urgent Care LLC Current Accepting new patients
Doctor Today TLC, LLC PastSince Feb 23, 2025 Accepting new patients

Locations

101 Magnolia Ave
Auburndale, FL 33823
Phone (863) 858-8000

1045 US Highway 17 S
Bartow, FL 33830
Phone (717) 331-7371

602 US Highway 17 92 N
Haines City, FL 33844
Phone (863) 858-8000

3810 S Florida Ave
Ste 120
Lakeland, FL 33813
Phone (863) 858-8000

4435 US Highway 98 N
Lakeland, FL 33809
Phone (863) 858-8000

3810 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-5100

700 1st St S
Winter Haven, FL 33880
Phone (863) 226-5589

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1992948434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13784 BECKMAN DR.",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "34786",
            "telephone_number": "787-245-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 US HIGHWAY 17 92 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338449461",
            "telephone_number": "863-858-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ GUZMAN",
        "first_name": "ENRIQUE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.