Healthcare Provider Details

I. General information

NPI: 1922801778
Provider Name (Legal Business Name): ACUTE CARE SURGICAL SPECIALIST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7951 SW 40TH ST STE 200
MIAMI FL
33155-6752
US

IV. Provider business mailing address

7951 SW 40TH ST STE 200
MIAMI FL
33155-6752
US

V. Phone/Fax

Practice location:
  • Phone: 786-435-0179
  • Fax:
Mailing address:
  • Phone: 786-435-0179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: MANRIQUE GUERRERO
Title or Position: OWNER
Credential: MD
Phone: 786-435-0179