Jose Guerra MD & Associates LLC
Clinic/Center in South Miami, FL. Organization (NPI-2).
NPI number1124476817
StatusActive
Last updated in NPPESJul 18, 2018
Details
- NPI
- 1124476817
- Entity type
- Organization (NPI-2)
- Legal business name
- Jose Guerra MD & Associates LLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2016
- Last updated
- Jul 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | ME121917 | FL | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | ME121917 | FL | |
| 323P00000X | Psychiatric Residential Treatment Facility | ME121917 | FL |
Practice location
6001 Sw 70th St Apt 347South Miami, FL 33143
Phone 786-514-2450
Mailing address
6001 Sw 70th St Apt 347South Miami, FL 33143-3426
Phone 786-514-2450
Authorized official
Jose Armando Guerra-Valencia
Managing Member
7865142450
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