Ernesto Leopoldo Guerra Andrade, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN 21508 Issued in FL

Practice address

14442 Bruce B Downs Blvd
Tampa, FL 33613-2612

Phone

(813) 866-7080

NPI assigned

Aug 10, 2015

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1225414402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 BOWEN DANIEL DR UNIT 802",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161474",
            "telephone_number": "787-613-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14442 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132612",
            "telephone_number": "813-866-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA ANDRADE",
        "first_name": "ERNESTO",
        "middle_name": "LEOPOLDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Guemes, NP
• Ivaylo Gueorguiev, DOM, DACM, AP
• Michael Guerdan
• Yvette Maria Guereca, M.A.
• Nathan James Guerette, ARNP, CNM
• Mabel Guerra Govin
• Claudia Guerra Hernandez, PA-C
• Jose L Guerra Li
• Liuva Guerra Martinez
• Yezmin Guerra Rodriguez

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.