Provider Demographics
NPI:1205809670
Name:GUIDA, CARLOS M (MD)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:M
Last Name:GUIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CARLOS
Other - Middle Name:M
Other - Last Name:GUIDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:351 NW 42 AVE
Mailing Address - Street 2:SUITE 409
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:38126
Mailing Address - Country:US
Mailing Address - Phone:305-643-6500
Mailing Address - Fax:305-642-4995
Practice Address - Street 1:351 NW 42ND AVE STE 406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5689
Practice Address - Country:US
Practice Address - Phone:305-643-6500
Practice Address - Fax:305-642-4995
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56236207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374666600Medicaid
F62013Medicare UPIN
18896AMedicare ID - Type Unspecified