Guillermo Mantilla Cadena, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0019346 Issued in FL

Practice address

22770 Skyview Cir
Brooksville, FL 34602-3106

Phone

(813) 997-3802

NPI assigned

Aug 12, 2006

Last updated

Feb 19, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1255343901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 HEARTH RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083714",
            "telephone_number": "813-997-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22770 SKYVIEW CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346023106",
            "telephone_number": "813-997-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENA",
        "first_name": "GUILLERMO",
        "middle_name": "MANTILLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0019346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05067111000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Burns, MD
• Elisia Marie Burse, LCSW
• Tara Byrd
• Kiomary Caban-Hernandez, CRNA
• Leonard R Cacioppo, M.D.
• Sandra J. Cadena, PHD, ARNP, BC, CNE
• Louis Cafiero IV, PHARMD
• Michael Steve Calderon
• Wendy Breck Caldwell, LMHC
• Alberto Antonio Calle Encalada, M.D.

• Psychiatry Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.