Individual provider Active NPI

Alexandra Herrero Leon Guerrero, M.D.

  • Surgery Physician
  • Tamuning, GU
National Provider Identifier
1780020586
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M-2170 Issued in GU
Practice address
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone
(671) 647-4542
Fax
(671) 647-4558
NPI assigned
May 20, 2013
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X M-2170 GU Primary

Addresses

Primary practice location

280 Pale San Vitores Rd
Tamuning, GU 96913-3615

Mailing address

10 W Anaco LN
Piti, GU 96915-5412
Phone (650) 804-6818

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200110001936 GU Practitioner - General Surgery 0547693566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hafa Specialist Group LLPGroup PAC ID 3779482286, 7 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone (671) 647-4542

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Hernia repair (minimally invasive)1-10
Mastectomy12
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-2170GUMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hafa Specialist Group LLP CurrentSince Oct 19, 2019 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Oct 14, 2024 Accepting new patients
Hafa Adal Specialist Group, LLP CurrentSince Oct 19, 2019 Accepting new patients
Guam Memorial Hospital Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1780020586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W ANACO LN",
            "city": "PITI",
            "state": "GU",
            "postal_code": "969155412",
            "telephone_number": "650-804-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133615",
            "telephone_number": "671-647-4542",
            "fax_number": "671-647-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON GUERRERO",
        "first_name": "ALEXANDRA",
        "middle_name": "HERRERO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GU",
            "license": "M-2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.