Lisandra Hernandez Guerra

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11017463 Issued in FL

Practice address

11224 Madison Park Dr
Tampa, FL 33625-3959

Phone

(813) 270-6040

NPI assigned

Jun 14, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1942930730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11224 MADISON PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253959",
            "telephone_number": "813-270-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11224 MADISON PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253959",
            "telephone_number": "813-270-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ GUERRA",
        "first_name": "LISANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11017463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian Hernandez Fernandez
• Dailys Hernandez Galvez, OTR/L
• Oleidys Hernandez Galvez
• Marla Robin Hernandez Gomez, CNA
• Yusimi Hernandez Gomez
• Danaisy Hernandez Hernandez
• Mariam Hernandez Leyva
• Yunia Hernandez Lopez, APRN, FNP-C
• Yeisy Hernandez Lorente, FNP-C
• Geyly Maria Hernandez Martinez

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.