Organization
JOSE GUERRA MD & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ARMANDO GUERRA-VALENCIA MD (MANAGING MEMBER)
(786) 514-2450
Entity
Organization
Contact information
Practice address
6001 SW 70TH ST APT 347, SOUTH MIAMI, FL 33143
(786) 514-2450
Mailing address
6001 SW 70TH ST APT 347, SOUTH MIAMI, FL 33143-3426
(786) 514-2450
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME121917
FL
261QM0850X
Adult Mental Health Clinic/Center
ME121917
FL
323P00000X
Psychiatric Residential Treatment Facility
ME121917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014195400
—
FL
01
—
ID902Z
MEDICAID PTAN
FL
Enumeration date
06/02/2016
Last updated
07/18/2018
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