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

Lupe Guerra Jr.

Individual provider Physician Assistant · NPI 1205319019

Lupe Guerra Jr. is a Physician Assistant in Lutz, Florida. Qualified in 2017, 9 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

2971 Pearson James Pl
Lutz, FL 33559-6996
Phone: (813) 388-2347
Fax: (813) 345-8999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110992 (FL)

Record details

NPI number1205319019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2018
Last updated in NPPESNovember 6, 2024
Certification dateNovember 4, 2024
Mailing address7765 Brian Loop, Lakeland, FL 33810-5137

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lutz