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Guillermo Izquierdo Pretel

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Guillermo Izquierdo Pretel is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1043410699
Provider Type
Individual
Full Name
Izquierdo Pretel, Guillermo
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/23/2007
Last Updated
1/15/2026

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 355-1245

Unlisted Fax

Mailing Location

3530 Coral Way Apt 605, Miami, FL 33145-3256

(305) 812-8099

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME107660 Florida
Code 207RH0002X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME107660 Florida
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License ME107660 Florida

Provider Identifiers

ID	Description	Issuer
ID ME 107660	Description Other	Issuer STATE LICENSE Florida

Guillermo Izquierdo Pretel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Raffa, Gabriella

Mehta, Vijay

Van Kirk, Kendra Michelle

Patel, Sayari

Delfani, Sohail

Debenedictus, Christina

Dangl, Michael

Ahmed, Madiha

Burrafato, Angela Rose

Garcia, Miraida Renee