MEDICARE: BALANCED ENDOCRINE WELL ESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1457296212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED ENDOCRINE WELL ESS

Provider Business Mailing Address
First Line	:	2510 NW 32ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-5871
Country	:	US
Telephone Number	:	754-347-4055
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6758
Country	:	US
Telephone Number	:	754-347-4055
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SOL V GUERRERO
Credential	:	MD
Telephone Number	:	561-989-4911

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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