Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOSE MIGUEL LARES-GUIA MD
NPI 1902030869
General Practice in New York, NY

Q: What is Jose Lares-guia's NPI number?

The NPI number for Jose Lares-guia is 1902030869. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Q: What is Jose Lares-guia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Lares-guia was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2009PECOS Enrolled

111 WADSWORTH AVE, NEW YORK, NY 10033(646) 682-7544(646) 666-0339 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Jun 23, 2025, Nov 8, 2024 and 4 more (7 updates tracked since 2019).

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About Dr. Jose Miguel Lares-guia Md NPPES

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

DR. JOSE MIGUEL LARES-GUIA MD (NPI 1902030869) is an individual general practice provider in New York, New York, licensed in New York (249492) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1902030869

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOSE MIGUEL LARES-GUIACredential: MD

Location Address111 WADSWORTH AVENew York, NY 10033-6102

Mailing Address111 Wadsworth AveNew York, NY 10033-6102 · (646) 682-7544 · Fax (646) 666-0339

Phone(646) 682-7544

Fax(646) 666-0339

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateMay 7, 2009

Last NPPES UpdateJune 23, 20267 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1902030869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 249492

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

111 WADSWORTH AVE, New York, NY 10033

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Other Identifiers 3

Medicaid03161662NY

Other03161662-03NY · Adap

Other249492NY · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Miguel Lares-guia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486788460

PECOS Enrollment IDI20100812000404

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

54 services23 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier109 claims170,800 services$6.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MARIA HEIDI DE LOS REYES BAGONGON PT

Physical Therapist