IVAN GUERRERO MD PA
NPI 1053508184
Specialist in Jacksonville, FL

Active since October 03, 2007
6817 SOUTHPOINT PKWY, SUITE 502, JACKSONVILLE, FL 32216(904) 646-3017(904) 646-1501 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivan Guerrero Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN GUERRERO MD PA (NPI 1053508184) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since October 2007. The organization lists Ivan A Guerrero, President, as its authorized official.

NPPES Registry Identity

NPI1053508184
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIVAN GUERRERO MD PA
Location Address6817 SOUTHPOINT PKWY, SUITE 502Jacksonville, FL 32216-6282
Mailing AddressPo Box 551272Jacksonville, FL 32255-1272 · (904) 646-3017 · Fax (904) 646-1501
Fax(904) 646-1501
Organization SubpartNo
Authorized OfficialIvan A GuerreroPresident · (904) 646-1987
Enumeration DateOctober 3, 2007
Last NPPES UpdateMay 21, 2015
NPI 1053508184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME82361
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6817 SOUTHPOINT PKWY, Jacksonville, FL 32216

Other Identifiers 2

Medicaid000802800FL
Medicare PINAH113FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6817 SOUTHPOINT PKWY, SUITE 1304
JACKSONVILLE, FL 32216
Prosthetic/Orthotic Supplier
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216
Pharmacy (Community/Retail Pharmacy)
6817 SOUTHPOINT PKWY, STE 1702
JACKSONVILLE, FL 32216
Obstetrics & Gynecology
6817 SOUTHPOINT PKWY, SUITE 2204
JACKSONVILLE, FL 32216
Internal Medicine
6817 SOUTHPOINT PKWY, SUITE 801
JACKSONVILLE, FL 32216
Psychologist
6817 SOUTHPOINT PKWY, SUITE 803
JACKSONVILLE, FL 32216
Clinic/Center (Adult Mental Health)
6817 SOUTHPOINT PKWY, STE 803
JACKSONVILLE, FL 32216
Behavior Analyst
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Guerrero MD PA's NPI number?

The NPI number for Ivan Guerrero MD PA is 1053508184. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Ivan Guerrero MD PA located?

Ivan Guerrero MD PA is located at 6817 Southpoint Pkwy Suite 502, Jacksonville, FL 32216. The listed phone number is (904) 646-3017.

What is Ivan Guerrero MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Ivan Guerrero MD PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Ivan Guerrero MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Guerrero MD PA was last updated on May 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.