Iliana Guerra, RD.CSP.LD.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT07323 Issued in TX

Practice address

2302 E 28TH St
Mission, TX 78574-1910

Phone

(956) 458-6156

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1174645998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 E 28TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785741910",
            "telephone_number": "956-458-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 E 28TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785741910",
            "telephone_number": "956-458-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "ILIANA",
        "name_prefix": "Miss",
        "credential": "RD.CSP.LD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT07323",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178789701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen M Velasco, Mdpa
• GTZ Ventures, LLC (Summit Ambulance Service, LLC)
• Guadalupe Family Clinic
• Guerra Dentistry, P.a.
• Guerra Pharmacy Inc (Abc Pharmacy)
• Jesus Othon Guerra III, D.D.S.
• Jose Arturo Guerra Jr., M.S. CCC-SLP
• Maria Guerrero
• Olga Guerrero
• Lizett M. Guevara, OTR

• Registered Dietitian in Mission, TX
• Providers in Mission, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.