PABLO M GUALA M.D.
NPI 1407953482
Internal Medicine - Cardiovascular Disease in Hialeah, FL

Q: What is Pablo Guala's NPI number?

The NPI number for Pablo Guala is 1407953482. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Pablo Guala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Pablo Guala was last updated on February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2106884 · Waiver

3.69/100

CMS Quality Rating

4811 W 4TH AVE, HIALEAH, FL 33012(305) 822-0068(305) 819-4445 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Pablo M Guala M.d. NPPES

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

PABLO M GUALA M.D. (NPI 1407953482) is an individual cardiovascular disease provider in Hialeah, Florida, licensed in Florida (ME97042) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 29, 2027, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1407953482

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePABLO M GUALACredential: M.D.

Location Address4811 W 4TH AVEHialeah, FL 33012-3939

Mailing Address4811 W 4th AveHialeah, FL 33012-3939 · (305) 822-0668 · Fax (305) 819-4445

Phone(305) 822-0068

Fax(305) 819-4445

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 20, 2006

Last NPPES UpdateFebruary 28, 2017

✔ NPI 1407953482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · ME97042

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License ME97042 (FL)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License ME97042 (FL)

4811 W 4TH AVE, Hialeah, FL 33012

Open in Google Maps ↗

Other Identifiers 1

Medicaid276796100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pablo M Guala M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931291465

PECOS Enrollment IDI20070828000843

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2106884

Pablo Guala MD · Hialeah, FL

Active · expires Dec 29, 2027

CLIA Number10D2106884

Laboratory TypePhysician Office

Certificate Effective DateDecember 30, 2025

Certificate Expiration DateDecember 29, 2027

Laboratory DirectorPablo Guala

Laboratory Phone(305) 822-0068

Laboratory LocationPablo Guala MD4811 W 4th Ave, Hialeah, FL 33012

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 33

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

396 services123 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

396 services123 patients

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

266 services109 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

246 services82 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

177 services74 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

159 services99 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

130 services81 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

102 services64 patients

Removal of plaque in artery of leg, each additional vessel 37233

This procedure involves eliminating plaque buildup in your leg arteries to improve blood flow. If more than one vessel is affected, each additional vessel will also be treated in the same session. This can help alleviate symptoms and prevent serious complications.

94 services67 patients

Injection, dipyridamole, per 10 mg J1245

Dipyridamole injection is a medication used to prevent blood clots. It's given in doses of 10 mg, typically through an IV. The medication helps to keep your blood flowing smoothly by preventing platelets from clumping together in your veins.

86 services18 patients

Removal of plaque and insertion of stents in artery of leg, initial vessel 37231

This procedure involves clearing blockages in the leg artery caused by plaque buildup. A small tube called a stent is then inserted to keep the artery open, promoting healthy blood flow. This is done for the first affected vessel.

79 services55 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

69 services53 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

66 services62 patients

Injection for x-ray imaging procedure into vein of arm or leg 36005

This procedure involves injecting a contrast material into a vein in your arm or leg. This helps to enhance the quality of X-ray images, making it easier to see and understand the condition of your veins and tissues. It's generally safe and quick.

62 services18 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

62 services30 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

56 services49 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

50 services36 patients

Insertion of stent in groin artery, initial vessel 37221

A stent is a small, mesh tube that's used to treat narrow or weak arteries. In this procedure, a stent is placed in your groin artery to help keep it open and improve blood flow. It's inserted through a small incision and guided to the problem area.

46 services33 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

39 services36 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

35 services17 patients

Insertion of tube into vena cava 36010

The procedure involves placing a tube into your vena cava, a large vein carrying blood to your heart. This can help deliver medication, nutrients, or draw blood. It's typically done under local anesthesia to minimize discomfort.

33 services18 patients

Insertion of stent in vein with review by radiologist, initial vein 37238

A stent insertion in a vein is a procedure where a small, mesh tube is placed within your vein to keep it open. This helps improve blood flow. A radiologist, a doctor specialized in imaging technology, will review the procedure to ensure the stent is correctly positioned.

33 services18 patients

Insertion of tube into vein, first order branch 36011

This procedure involves placing a tube into your vein's first branch. It's done to administer medications, fluids, or collect blood samples. You might feel a slight prick when the needle is inserted, but it's generally painless.

32 services18 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

32 services31 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

31 services30 patients

Balloon dilation of groin artery, each additional vessel 37222

Balloon dilation of the groin artery is a procedure where a small balloon is inserted and inflated in an additional vessel to open up narrowed or blocked arteries. This improves blood flow and reduces symptoms like pain and swelling.

25 services22 patients

Insertion of stent in groin artery, additional vessel 37223

A stent insertion in the groin artery involves a small tube placed in your artery to help keep it open, promoting blood flow. If an additional vessel is involved, another stent is inserted. This procedure helps prevent blockages and improves circulation.

24 services20 patients

Insertion of stent in vein with review by radiologist, each additional vein 37239

This procedure involves placing a small tube, or stent, in your vein to keep it open. A radiologist, a doctor specialized in medical imaging, reviews the procedure. If more veins need stents, the process is repeated. This helps improve blood flow.

24 services15 patients

Insertion of stent in arteries of leg 37226

A stent insertion in the leg arteries is a procedure to improve blood flow. A tiny mesh tube called a stent is placed in your artery to keep it open. This helps prevent blockages, alleviating pain and aiding in better mobility.

19 services18 patients

Review by radiologist of 1 arm or leg vein of 1 arm or leg image 75820

This procedure involves a radiologist examining an image of a vein in either your arm or leg. The image helps to identify any abnormalities or issues with blood flow. It's a non-invasive and safe process that aids in accurate diagnosis and treatment planning.

19 services11 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

18 services16 patients

Balloon dilation of artery of leg 37224

Balloon dilation of the leg artery is a procedure to improve blood flow. A tiny balloon is inserted into a narrowed artery, then inflated to widen the artery. This helps increase blood circulation to the leg. It's usually done under local anesthesia.

17 services16 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

3.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

12.3

Leave this field empty

Other Providers at the Same Location NPPES 4

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

SUNLITE MEDICAL ASSOCIATES INC

Internal Medicine (Cardiovascular Disease)

4811 W 4TH AVE
HIALEAH, FL 33012

Miami-Dade County (305) 822-0068

DARWIN ESQUIVEL APRN

Nurse Practitioner (Family)

4811 W 4TH AVE
HIALEAH, FL 33012

Miami-Dade County (305) 822-0068

EFRAIN CAMARA, M.D.,P.A.

Internal Medicine (Gastroenterology)

4811 W 4TH AVE
HIALEAH, FL 33012

Miami-Dade County (305) 836-9725

EFRAIN CAMARA MEDICAL CENTERINC.

Family Medicine

4811 W 4TH AVE
HIALEAH, FL 33012

Miami-Dade County (305) 836-9725

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 Pablo Guala's NPI number?

The NPI number for Pablo Guala is 1407953482. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Pablo Guala located?

Pablo Guala practices at 4811 W 4th Ave, Hialeah, FL 33012. The listed phone number is (305) 822-0068.

What is Pablo Guala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pablo Guala enrolled in Medicare?

Yes. Pablo Guala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Pablo Guala hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2106884) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pablo Guala accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Pablo Guala 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 Pablo Guala was last updated on February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Pablo M Guala M.d. NPPES

NPPES Registry Identity

Specialties & Licenses 3

Other Identifiers 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 10D2106884

Areas of Expertise CMS Part B claims 33

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is Pablo Guala's NPI number?

Where is Pablo Guala located?

What is Pablo Guala's specialty?

Is Pablo Guala enrolled in Medicare?

Does Pablo Guala hold a CLIA laboratory certificate?

What insurance does Pablo Guala accept?

When was this NPI record last updated?

Certificate of Waiver 10D2106884