Active NPI
Ileana Del Carmen Garcia Guerra, PA
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1154909026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 878-P.A.
- Practice address
- Sunbelt Street
Apt 208
Tampa, FL 33635-6021 - Phone
- (585) 287-2201
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 878-P.A. | PR | |
| Medical Physician Assistant | 363AM0700X | 878-P.A. | PR | Primary |
Addresses
Primary practice location
Sunbelt Street
Apt 208
Tampa, FL 33635-6021
Mailing address
Sunbelt Street
Apt 208
Tampa, FL 33635-6021
Phone (585) 287-2201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 878-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1154909026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUNBELT STREET",
"address_2": "APT 208",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356021",
"telephone_number": "585-287-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNBELT STREET",
"address_2": "APT 208",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356021",
"telephone_number": "585-287-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA GUERRA",
"first_name": "ILEANA",
"middle_name": "DEL CARMEN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "878-P.A.",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "878-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.