Andre Rivero Guevara in Miami - Physician Assistant
Andre Rivero Guevara - NPI 1588622476
Andre Rivero Guevara is a Physician Assistant in Miami, Florida. Andre Rivero Guevara practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andre Rivero Guevara is 1588622476. The last update date is 2018-03-06.
Andre Rivero Guevara's current location address is 6240 Sw 21st St, Miami, Florida. You can contact this provider via phone number 3059869166 and fax number 3052486558. The mailing address for Andre Rivero Guevara is 6240 Sw 21st St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andre Rivero Guevara |
|---|---|
| Address | 6240 Sw 21st St, Miami, Florida |
| Phone Number | 3059869166 |
| Fax Number | 3052486558 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1588622476 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2018-03-06 |
Provider Mailing Address Detail
| Address | 6240 Sw 21st St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331552057 |
| Phone Number | 3059869166 |
| Fax Number | 3052486558 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9100748 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3889000 | FL | -- |
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What is the unique identifier code issued to Andre Rivero Guevara by the Centers for Medicare & Medicaid Services (CMS)?
The Andre Rivero Guevara has been assigned the NPI (National Provider Identifier) 1588622476. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Andre Rivero Guevara located?
The Andre Rivero Guevara is located at 6240 Sw 21St St, Miami, FL 331552057.
What is the Andre Rivero Guevara's specialty and taxonomy code?
The Andre Rivero Guevara's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588622476 to Andre Rivero Guevara?
The Andre Rivero Guevara received its 1588622476 assignment from the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the Andre Rivero Guevara's information last updated?
The Andre Rivero Guevara's information was last updated on 2018-03-06.