Individual provider Active NPI

Iris V Guerrero Urena, MD

  • Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1205276367
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD186335 Issued in OR
Practice address
101 N Monroe St Ste 800
Tallahassee, FL 32301-1500
Phone
(321) 300-2108
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD186335 OR Primary
Psychiatry Physician 2084P0800X 287801 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

101 N Monroe St Ste 800
Tallahassee, FL 32301-1500

Mailing address

2157 Wallace Ave
6J
Bronx, NY 10462-1858

Other practice location 1

1200 Hilyard St Ste 420
Eugene, OR 97401
Phone (458) 205-6555

Other practice location 2

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185

Other practice location 3

770 E 11th Ave
Eugene, OR 97401-3746
Phone (458) 205-7000

Other practice location 4

100 Pine St Ste 1250
San Francisco, CA 94111-5235
Phone (833) 351-8255

Other practice location 5

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 6

9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Phone (917) 634-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180803001709 OR Practitioner - Psychiatry 2365790557 Reassigns benefits to 1 organization
I20240715000783 FL Practitioner - Psychiatry 2365790557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255

9620 NE Tanasbourne Dr
Suite 300
Hillsboro, OR 97124-7844
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287801NYMDPsychiatry Physician
MD186335ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Aug 12, 2024 Accepting new patients

Locations

1301 Riverplace Blvd
Jacksonville, FL 32207

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

Interoperability endpoints

  • Direct secure messaging: iguerrerourena388116@direct.peacehealth.org

Organizations & group practices 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1205276367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 WALLACE AVE",
            "address_2": "6J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST STE 800",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011500",
            "telephone_number": "321-300-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hilyard St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-2185",
            "fax_number": "541-222-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013746",
            "country_code": "US",
            "telephone_number": "458-205-7000",
            "fax_number": "458-205-7021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pine St Ste 1250",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941115235",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9620 NE Tanasbourne Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247844",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO URENA",
        "first_name": "IRIS",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD186335",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "287801",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.