Guillermo F Porro DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10372 Issued in FL

Legal business name

GUILLERMO F PORRO DMD PA

Practice address

7059 W Waters Ave
Tampa, FL 33634-2290

Phone

(813) 889-8599

Fax

(813) 249-1301

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda I Prospere

Title

Office Manager

Phone

(813) 889-8599

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1740551019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7059 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342290",
            "telephone_number": "813-889-8599",
            "fax_number": "813-249-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7059 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342290",
            "telephone_number": "813-889-8599",
            "fax_number": "813-249-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO F PORRO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "PROSPERE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-889-8599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "10372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074901001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia L Guilford, MSW
• Matthew Guillemette
• Lisa Guillen, ARNP-BC
• Rebecca Sophia Guillen, ATC, LAT
• Guillermo Castellvi MD PA
• Louis Quilala Guillermo III, M.D.
• Elaine Josefa Guimbarda Cuellar, FNP-BC
• Ana Flavia Flavia Guimbarda Garcia, RBT
• Jorge Guimil Alberto, FNP-C
• Robert Guirguis, DO

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.