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Dr. Giselle Guerra, MD

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Specializes in: Adult Nephrology

Central University of the Caribbean School of Medicine

Professional interests include: kidney failure, dialysis, kidney problems, and more.

1801 N.w. 9th Avenue
Miami, FL 33136

(305) 355-5000

Dr. Giselle Guerra, MD is a nephrologist in Miami, FL specializing in adult nephrology. She graduated from Central University of the Caribbean School of Medicine. Dr. Giselle Guerra, MD is affiliated with Jackson Health System.

Office Locations

1611 Nw 12th Avenue Box 016960 M851
Miami, FL 33136

(305) 585-1111

(305) 243-8470

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1801 N.w. 9th Avenue
Miami, FL 33136

(305) 355-5000

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Some issues Dr. Giselle Guerra, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2012 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

doctor visit	309
hospital care	400
inpatient care	400

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2013 were hospital care, inpatient care, hemofiltration and dialysis.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

dialysis	56
doctor visit	238
hemofiltration	56
hospital care	772
inpatient care	772

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	183
Female	136

**Ethnicity**
Non-Hispanic White	75
Black	105
Hispanic	126
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	0
85 and over	0
Less than 65	218

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2013

Hypertension	75
High Cholesterol	58
Stroke	7
Ischemic Heart Disease	57
Depression	24
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	43
Chronic Obstructive Pulmonary Disease	15
Diabetes	66
Dementia	6
Cancer	6

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

doctor visit	338
hospital care	815
inpatient care	815

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	226
Female	132

**Ethnicity**
Non-Hispanic White	84
Black	117
Hispanic	139
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	23
85 and over	0
Less than 65	238

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2014

Hypertension	75
High Cholesterol	63
Stroke	4
Ischemic Heart Disease	48
Depression	20
Chronic Kidney Disease	75
Asthma	5
Osteoperosis	6
Atrial Fibrilation	6
Heart Failure	33
Chronic Obstructive Pulmonary Disease	11
Diabetes	57
Dementia	6
Cancer	6

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

doctor visit	249
hospital care	729
inpatient care	729

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	402
Female	300

**Ethnicity**
Non-Hispanic White	128
Black	258
Hispanic	264
Asian	28
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	30
85 and over	0
Less than 65	516

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2015

Hypertension	75
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	48
Depression	16
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	4
Atrial Fibrilation	6
Heart Failure	33
Chronic Obstructive Pulmonary Disease	8
Diabetes	58
Dementia	5
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2016 were hospital care, inpatient care, hemofiltration and dialysis.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

dialysis	58
doctor visit	320
hemofiltration	58
hospital care	1067
inpatient care	1067

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	253
Female	192

**Ethnicity**
Non-Hispanic White	71
Black	174
Hispanic	169
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	105
From 75 to 84	0
85 and over	0
Less than 65	311

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	53
Depression	19
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	4
Atrial Fibrilation	9
Heart Failure	36
Chronic Obstructive Pulmonary Disease	8
Diabetes	60
Dementia	9
Cancer	5

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

doctor visit	216
hospital care	492
inpatient care	492

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	200
Female	122

**Ethnicity**
Non-Hispanic White	61
Black	122
Hispanic	111
Asian	15
Other	13
Native American	0

**Age**
From 65 to 74	78
From 75 to 84	0
85 and over	0
Less than 65	226

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2017

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	55
Depression	19
Chronic Kidney Disease	75
Asthma	5
Osteoperosis	6
Atrial Fibrilation	12
Heart Failure	40
Chronic Obstructive Pulmonary Disease	11
Diabetes	58
Dementia	11
Cancer	4

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

doctor visit	221
hospital care	535
inpatient care	535

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	196
Female	145

**Ethnicity**
Non-Hispanic White	57
Black	122
Hispanic	140
Asian	11
Other	11
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	0
85 and over	0
Less than 65	218

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	59
Depression	22
Chronic Kidney Disease	75
Asthma	5
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	43
Chronic Obstructive Pulmonary Disease	11
Diabetes	64
Dementia	10
Cancer	5

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

doctor visit	158
hospital care	470
inpatient care	470

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	168
Female	124

**Ethnicity**
Non-Hispanic White	58
Black	111
Hispanic	111
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	85
From 75 to 84	0
85 and over	0
Less than 65	184

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	60
Depression	28
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	4
Atrial Fibrilation	14
Heart Failure	48
Chronic Obstructive Pulmonary Disease	13
Diabetes	67
Dementia	12
Cancer	5

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

hospital care	585
inpatient care	585

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	120
Female	65

**Ethnicity**
Non-Hispanic White	0
Black	65
Hispanic	77
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	135

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	58
Depression	24
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	50
Chronic Obstructive Pulmonary Disease	10
Diabetes	75
Dementia	14
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

hospital care	410
inpatient care	410

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	89
Female	56

**Ethnicity**
Non-Hispanic White	0
Black	50
Hispanic	68
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	29
From 75 to 84	13
85 and over	0
Less than 65	103

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	73
Depression	26
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	12
Heart Failure	50
Chronic Obstructive Pulmonary Disease	12
Diabetes	69
Dementia	23
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

hospital care	385
inpatient care	385

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	78
Female	60

**Ethnicity**
Non-Hispanic White	0
Black	56
Hispanic	55
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	99

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	20
Ischemic Heart Disease	60
Depression	21
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	0
Atrial Fibrilation	26
Heart Failure	48
Chronic Obstructive Pulmonary Disease	13
Diabetes	75
Dementia	9
Cancer	0

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

hospital care	190
inpatient care	190

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	60
Female	54

**Ethnicity**
Non-Hispanic White	0
Black	30
Hispanic	56
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	83

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	43
Depression	24
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	10
Atrial Fibrilation	23
Heart Failure	38
Chronic Obstructive Pulmonary Disease	18
Diabetes	67
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL during 2024 were hospital care and inpatient care.

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

hospital care	107
inpatient care	107

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Male	32
Female	25

**Ethnicity**
Non-Hispanic White	0
Black	16
Hispanic	28
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	36

Conditions of Medicare patients treated by Dr. Giselle Guerra, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	53
Depression	30
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	19
Heart Failure	42
Chronic Obstructive Pulmonary Disease	21
Diabetes	70
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Giselle Guerra, MD for Medicare patients.

The highest averages for the top procedures that Dr. Giselle Guerra, MD treated as a nephrologist in Miami, FL were hospital care, inpatient care, hemofiltration and dialysis.

dialysis	57
doctor visit	256
hemofiltration	57
hospital care	535
inpatient care	535

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Giselle Guerra, MD.

**Gender**
Female	108
Male	154

**Ethnicity**
Black / African American	94
Asian / Pacific Islander	4
Non-Hispanic White	41
Hispanic	103
Native American / Alaskan Native	0
Other	3

**Age**
85 and over	0
75 to 84	5
Less than 65	182
65 to 74	55

Average of Total of Conditions of Medicare patients treated by Dr. Giselle Guerra, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Giselle Guerra, MD treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	69
High Cholesterol	66
Stroke	6
Ischemic Heart Disease	51
Depression	21
Chronic Kidney Disease	69
Asthma	5
Osteoporosis	3
Heart Failure	38
Chronic Obstructive Pulmonary Disease	11
Diabetes	60
Atrial Fibrillation	12
Cancer	2
Dementia	8

Education & Training

Dr. Giselle Guerra, MD graduated from Central University of the Caribbean School of Medicine. She completed residency at Tufts University Affiliated Hospitals. She has a state license in Florida.

Medical School: Central University of the Caribbean School of Medicine

Residency: Tufts University Affiliated Hospitals

Licensed In: Florida

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General Payments

These charts describe general payments received by Dr. Giselle Guerra, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novartis Pharmaceuticals Corporation	$7,232 ZORTRESS $348	$6,884
E.R. Squibb & Sons, L.L.C.	$4,525 NULOJIX $4,525
Intuitive Surgical, Inc.	$991 Da Vinci Surgical System $991
Astellas Pharma US Inc	$824 ASTAGRAF XL $112	Prograf $17	$695
Dilon Technologies, Inc.	$784 HEMOBLAST Bellows $784
Other	$949 SOLIRIS $291	Sleep Disorder Breathing $186	ACTHAR $156	System One $64	AVYCAZ $35	Other $216