MEDICARE: TAMARA GUERRA ALFONSO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician	ME146538	FL
2	2084P0800X	Psychiatry Physician	ME146538	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154810661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA GUERRA ALFONSO MD

Provider Business Mailing Address
First Line	:	16120 SW 155TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33187-5222
Country	:	US
Telephone Number	:	786-201-3226
Fax Number	:

Provider Business Practice Location Address
First Line	:	19100 SW 106TH AVE UNIT 12B
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-7643
Country	:	US
Telephone Number	:	786-760-9173
Fax Number	:	786-667-6890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	08/22/2025

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