Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jose Miguel Lares-Guia, MD

Individual provider General Practice Physician · NPI 1902030869

Dr. Jose Miguel Lares-Guia, MD is a General Practice in New York, New York. Qualified in 1997, 29 years ago. Practices with Ace Medical Care PC, a 2-clinician group. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Wadsworth Ave
New York, NY 10033-6102
Phone: (646) 682-7544
Fax: (646) 666-0339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 249492 (NY)

Record details

NPI number1902030869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 7, 2009
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ace Medical Care Pc — 2 clinicians
Accepts Medicare assignment Not indicated

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