MR. ANDRE RIVERO GUEVARA (PA) – Physician Assistant, NPI 1588622476

MR. ANDRE RIVERO GUEVARA (PA) is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9100748 (FL). The NPI Number for MR. ANDRE RIVERO GUEVARA (PA) is 1588622476

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDRE RIVERO GUEVARA (PA)
NPI
1588622476
Phone
(305) 705-6840
Address
12540 SW 8th St
Enumeration Date
2 May 2006
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052483488215
Graduation Year
1996 (30 years ago)
PAC ID
2860393790
Group Practice PAC ID
4082507249
Professional Enrollment ID
I20110310000869
Address ID
FL330304934HO654XXPLXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. ANDRE RIVERO GUEVARA (PA)

  • 12540 SW 8th St

    Miami, FL 331841412

    Phone: (305) 705-6840

    Type: Location

  • 6240, Southwest 21st Street, Coral Terrace, Miami, Miami-Dade County, Florida, 33155, United States

    MIAMI, FL 331552057

    Phone: (305) 986-9166

    Fax: (305) 248-6558

    Type: Mailing

  • 654, Northeast 9th Place, Homestead, Miami-Dade County, Florida, 33030, United States

    HOMESTEAD, FL 330304934

    Phone: (305) 248-3488

    Fax: (305) 248-6558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $2,003.

Total Amount is formed as General ($2,003) + Research ($0) + Ownership ($0) = $2,003.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($877).

Total Amount

$2,003

General + Research + Ownership

Payments

101

Total payment records

General Amount

$2,003

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110310000869IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7024$0
View full utilization report →

Insurance plans in this area (ZIP 33184)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082507249View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
-FL
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. ANDRE RIVERO GUEVARA (PA)?
MR. ANDRE RIVERO GUEVARA (PA) — NPI 1588622476 — is the standard way to identify this listing.
Can I rely on MR. ANDRE RIVERO GUEVARA (PA) being an active provider?
As of the registry snapshot, MR. ANDRE RIVERO GUEVARA (PA) is marked active.
What is MR. ANDRE RIVERO GUEVARA (PA)'s primary classification?
Physician Assistant is the headline specialty for MR. ANDRE RIVERO GUEVARA (PA) here. Clinical services aligned with this taxonomy classification.
What area does MR. ANDRE RIVERO GUEVARA (PA) serve?
MR. ANDRE RIVERO GUEVARA (PA)'s listing highlights Miami, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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