Individual
MR. ANDRE RIVERO GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
(305) 248-6558
Mailing address
11411 SW 109TH RD APT Z, MIAMI, FL 33176-8443
(305) 986-9166
(305) 248-6558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003889000
—
FL
05
—
023704100
—
FL
Enumeration date
05/02/2006
Last updated
06/24/2026
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