Guevara, Andre Rivero

Guevara, Andre Rivero is an individual health care provider with primary practice located at 654 Ne 9Th Pl , Homestead FL 33030-4934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Guevara, Andre Rivero can be contacted via phone (305) 248-3488.

Contact Information

Primary practice address
654 Ne 9Th Pl Homestead FL 33030-4934
Phone: (305) 248-3488
Fax: (305) 248-6558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100748 Florida

Profile Details

NPI number 1588622476
LBN Legal business name Guevara, Andre Rivero
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588622476 NPPES
Florida MEDICAID 003889000

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