Active NPIIndividual providerSole proprietor

Tamara Wilson Cisnero, MD

General Practice in Pensacola, Florida

NPI Number1184166779
Practice location
1741 E Nine Mile RD Ste 5, Pensacola, FL 32514-5478
Fax
850-462-9389
Last updated
March 18, 2025

Tamara Wilson Cisnero is a General Practice based in Pensacola, FL. Tamara Wilson Cisnero practices in Pensacola, FL and has the professional credentials of MD. The NPI Number for Tamara Wilson Cisnero is 1184166779 and holds a License No. 023999 (PR). The current practice location address for Tamara Wilson Cisnero is 1741 E Nine Mile RD Ste 5, Pensacola, FL 32514-5478 and can be reached out via phone at 850-462-9387 and via fax at 850-462-9389.

Provider Profile Details

NPI Number
1184166779
Provider Name
Tamara Wilson Cisnero
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1741 E Nine Mile RD Ste 5, Pensacola, FL 32514-5478
Phone Number
850-462-9387
Fax Number
850-462-9389
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2016
Last Update Date
March 18, 2025
Certification Date
March 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1741 E Nine Mile RD Ste 5
Pensacola, FL 32514-5478
State
Florida
Zip
32514-5478
Phone Number
850-462-9387
Fax Number
850-462-9389
Pensacola, FL 32514Get directions →

Provider Business Mailing Address Details

Address
71 Calle Santa Cruz Apt 7A
Bayamon, PR 00961-6926
City
Bayamon
State
PR
Zip
00961-6926
Phone Number
585-472-1766

License Information

License Number (1)
023999
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
ACN1676
License State (2)
FL
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tamara Wilson Cisnero, MD?

The NPI number of Tamara Wilson Cisnero, MD is 1184166779. It was assigned on November 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Tamara Wilson Cisnero, MD?

Tamara Wilson Cisnero, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 023999.

Where does Tamara Wilson Cisnero, MD practice?

The practice location is 1741 E Nine Mile RD Ste 5, Pensacola, FL 32514-5478. The office can be reached at 850-462-9387 (phone) or 850-462-9389 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184166779 directly on the NPPES registry website.

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