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General NPI Number Information
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NPI Number | 1619840477
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Entity Type | Organization
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Legal Business Name | EUGENIO MOISES GUEVARA MD PA
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 9220 SW 72ND ST STE 206
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City | MIAMI
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State | FL
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Zip | 33173-3259
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Country | US
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Telephone | 305-693-8585
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Fax | 305-693-8595
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Provider Business Mailing Address
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Address Line | 777 E 25TH ST STE 319
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City | HIALEAH
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State | FL
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Zip | 33013-3849
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Country | US
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Telephone | 305-693-8585
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Fax | 305-693-8595
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Authorized Official
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Title or Position | OWNER
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Name | EUGENIO MOISES GUEVARA
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Credential | MD
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Telephone | 305-693-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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