Individual provider Active NPI

Maria R Guzman Tennant, M.D.

  • General Practice Physician
  • Spring Hill, FL
National Provider Identifier
1104882133
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN593 Issued in FL
Practice address
5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone
(352) 688-8116
Fax
(352) 686-9477
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15044 PR
General Practice Physician 208D00000X ACN593 FL Primary

Addresses

Primary practice location

5350 Spring Hill Dr
Spring Hill, FL 34606-4562

Mailing address

5400 Pinehurst Dr
Spring Hill, FL 34606-3833
Phone (352) 277-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000002 PR Practitioner - General Practice 0446163992 Practice locations: Cabo Rojo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN593FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Medical Center of Florida Inc General Practice PastSince Apr 4, 2018 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1104882133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346063833",
            "telephone_number": "352-277-5305",
            "fax_number": "352-616-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-688-8116",
            "fax_number": "352-686-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN TENNANT",
        "first_name": "MARIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15044",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.