| Medical Home Alliance Llc | |
|
6675 Westwood Blvd Ste 475 Orlando FL 32821 | |
| (407) 845-0330 | |
| (888) 972-1752 |
| Full Name | Medical Home Alliance Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6675 Westwood Blvd Ste 475, Orlando, Florida |
| Authorized Official Name and Position | Armando Cremata (CFO) |
| Authorized Official Contact | 4078450330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Home Alliance Llc 6675 Westwood Blvd Ste 475 Orlando FL 32821-6027 Ph: (078) 450-3304 | Medical Home Alliance Llc 6675 Westwood Blvd Ste 475 Orlando FL 32821 Ph: (407) 845-0330 |
| NPI Number | 1740527811 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 6406096536 |
|---|---|
| Medicare Enrollment ID | O20130712000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740527811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gabriel Bizouati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548414121 PECOS PAC ID: 8820073281 Enrollment ID: I20040621000631 |
| Provider Name | Sarah J Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134106248 PECOS PAC ID: 5395719439 Enrollment ID: I20040824000607 |
| Provider Name | Michael G Degnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902802572 PECOS PAC ID: 5890744700 Enrollment ID: I20050118000949 |
| Provider Name | Mohamed F Razak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003870775 PECOS PAC ID: 8820049794 Enrollment ID: I20050208000760 |
| Provider Name | Sam M Korley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518962885 PECOS PAC ID: 5294837399 Enrollment ID: I20070220000557 |
| Provider Name | Luis C Favilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013912625 PECOS PAC ID: 8820172406 Enrollment ID: I20080227000289 |
| Provider Name | Karol E Fortich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124284468 PECOS PAC ID: 6305033820 Enrollment ID: I20101209001168 |
| Provider Name | Juan Carlos Escandon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356567788 PECOS PAC ID: 7416084546 Enrollment ID: I20110923000534 |
| Provider Name | Mauricio Rangel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104069582 PECOS PAC ID: 2567633274 Enrollment ID: I20110928000675 |
| Provider Name | Antonio R Vinluan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467421891 PECOS PAC ID: 5092758854 Enrollment ID: I20120518000518 |
| Provider Name | Ingrid T Fiallo Coronado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184992919 PECOS PAC ID: 7416192125 Enrollment ID: I20130401000132 |
| Provider Name | Zumilvette Ortiz Detres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861632200 PECOS PAC ID: 8123213253 Enrollment ID: I20130430000556 |
| Provider Name | Lysmar Carrion Dinguis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649572249 PECOS PAC ID: 0345400701 Enrollment ID: I20130529000571 |
| Provider Name | Melissa Ortiz Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295063089 PECOS PAC ID: 0143464479 Enrollment ID: I20130926000287 |
| Provider Name | Maria Sanchez Avila |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033133806 PECOS PAC ID: 1254327158 Enrollment ID: I20131024000747 |
| Provider Name | Keila Tosado De Leon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881843860 PECOS PAC ID: 9032380407 Enrollment ID: I20131029001792 |
| Provider Name | Ziolly Cortijo-cortes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952567216 PECOS PAC ID: 2860624822 Enrollment ID: I20140407001280 |
| Provider Name | Norali Hernandez-alonso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770647190 PECOS PAC ID: 1355573312 Enrollment ID: I20140407001473 |
| Provider Name | Edgar B George |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841542503 PECOS PAC ID: 9436307386 Enrollment ID: I20141010000812 |
| Provider Name | Luis F Mendez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235261660 PECOS PAC ID: 2365537461 Enrollment ID: I20150115000510 |
| Provider Name | Diego G Clavell Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265672778 PECOS PAC ID: 7719027341 Enrollment ID: I20150306001257 |
| Provider Name | Betania Reyes Matos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629031679 PECOS PAC ID: 3779594932 Enrollment ID: I20150324000306 |
| Provider Name | Bianca R Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235562042 PECOS PAC ID: 1355669904 Enrollment ID: I20150413000745 |
| Provider Name | Luis J Velazquez Vincente |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891945580 PECOS PAC ID: 0840479473 Enrollment ID: I20150429001248 |
| Provider Name | Mariel Pinero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891795654 PECOS PAC ID: 3476872748 Enrollment ID: I20150507002441 |
| Provider Name | Tomas Ferrer Capiro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548666183 PECOS PAC ID: 7911228432 Enrollment ID: I20150609000596 |
| Provider Name | Tania Falcon Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497859722 PECOS PAC ID: 6406816362 Enrollment ID: I20150826001649 |
| Provider Name | Arelis Rodriguez Caban |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467566711 PECOS PAC ID: 1153326160 Enrollment ID: I20150827001429 |
| Provider Name | Melissa Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881070688 PECOS PAC ID: 2769799139 Enrollment ID: I20150917000270 |
| Provider Name | Zy A Soto Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508972373 PECOS PAC ID: 5991700908 Enrollment ID: I20151103000237 |
| Provider Name | Maria Guzman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750564969 PECOS PAC ID: 3173832086 Enrollment ID: I20151210001630 |
| Provider Name | Maria Vazquez Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013950682 PECOS PAC ID: 3375799596 Enrollment ID: I20151210002154 |
| Provider Name | Sarim Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144617382 PECOS PAC ID: 5496056228 Enrollment ID: I20151219000155 |
| Provider Name | Emma M Herrera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376953836 PECOS PAC ID: 1456653476 Enrollment ID: I20160108000058 |
| Provider Name | Marisel Gutierrez Del Arroyo Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942452628 PECOS PAC ID: 9638230139 Enrollment ID: I20160415000120 |
| Provider Name | Nildamarys Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497881577 PECOS PAC ID: 9830115351 Enrollment ID: I20160506001722 |
| Provider Name | Osvaldo Aviles Ribot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811054901 PECOS PAC ID: 2466677992 Enrollment ID: I20160511001051 |
| Provider Name | Carlos Del Rosario Mesa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215314737 PECOS PAC ID: 8729378716 Enrollment ID: I20160603000079 |
| Provider Name | Teodoro Medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093852113 PECOS PAC ID: 5890785463 Enrollment ID: I20160720002795 |
| Provider Name | Hilda Ivonne Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952372807 PECOS PAC ID: 1456247634 Enrollment ID: I20160727001708 |
| Provider Name | Joel D Gonzalez-mendez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811910060 PECOS PAC ID: 9436103108 Enrollment ID: I20160926001138 |
| Provider Name | Mayra M Casta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821046285 PECOS PAC ID: 0547234999 Enrollment ID: I20161026002037 |
| Provider Name | Betzy Acevedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184647778 PECOS PAC ID: 8426000126 Enrollment ID: I20161114001990 |
| Provider Name | Aixa Lajara |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518260454 PECOS PAC ID: 6103105697 Enrollment ID: I20161128002736 |
| Provider Name | Nancy Blas Velez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629134952 PECOS PAC ID: 6901980986 Enrollment ID: I20161213002496 |
| Provider Name | Mayra Navedo-distaffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992239271 PECOS PAC ID: 7911284286 Enrollment ID: I20170516000607 |
| Provider Name | Agustin Caballero Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275761975 PECOS PAC ID: 9032306840 Enrollment ID: I20180214000126 |
| Provider Name | Candice M Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477799674 PECOS PAC ID: 9931415395 Enrollment ID: I20180314000307 |
| Provider Name | Greisy Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861992273 PECOS PAC ID: 0345502027 Enrollment ID: I20180315002385 |
| Provider Name | Javier Antonio Rosario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568461945 PECOS PAC ID: 9032022017 Enrollment ID: I20180327002696 |
| Provider Name | Ibrahim Shraim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023528692 PECOS PAC ID: 1951664366 Enrollment ID: I20180418000618 |
| Provider Name | Imarilys Zayas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780831131 PECOS PAC ID: 9638314149 Enrollment ID: I20180427000368 |
| Provider Name | Shawn Sheehy Van Buren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417176926 PECOS PAC ID: 1759645013 Enrollment ID: I20180514002005 |
| Provider Name | Dilcia Hernandez Santana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023209251 PECOS PAC ID: 4789835927 Enrollment ID: I20180525002168 |
| Provider Name | Patricia De Mello |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942303995 PECOS PAC ID: 3072512011 Enrollment ID: I20180613002008 |
| Provider Name | Jorge Y Reyes Rosario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619051836 PECOS PAC ID: 3274591854 Enrollment ID: I20180821003625 |
| Provider Name | Brimarie Feliciano Ramos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275885998 PECOS PAC ID: 1557513744 Enrollment ID: I20180907001243 |
| Provider Name | Ismael Ruiz De La Rosa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912130527 PECOS PAC ID: 1850435165 Enrollment ID: I20180914002739 |
| Provider Name | Sylma I Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306817101 PECOS PAC ID: 1557274693 Enrollment ID: I20180917001121 |
| Provider Name | Betsy Negron |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346499449 PECOS PAC ID: 8527109677 Enrollment ID: I20180918004400 |
| Provider Name | Keyshla Marie Rivera Baez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144510124 PECOS PAC ID: 0749428290 Enrollment ID: I20180924003320 |
| Provider Name | Ramon Ezequiel Acosta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750640678 PECOS PAC ID: 6305181132 Enrollment ID: I20181221001820 |
| Provider Name | Miguelina Diroche Ortiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992120497 PECOS PAC ID: 6901029859 Enrollment ID: I20190114000483 |
| Provider Name | Melitza Lopez Valle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427243021 PECOS PAC ID: 0143495598 Enrollment ID: I20190227002643 |
| Provider Name | Jose Salvador Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972694644 PECOS PAC ID: 9739270737 Enrollment ID: I20190620001114 |
| Provider Name | Miguel Osvaldo Fernandez Barreras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164453767 PECOS PAC ID: 0143323204 Enrollment ID: I20200212000722 |
| Provider Name | Marielis Pedroza Alicea |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619133782 PECOS PAC ID: 3678632163 Enrollment ID: I20200311001147 |
| Provider Name | Edwin Nieves Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336687656 PECOS PAC ID: 8426486788 Enrollment ID: I20200319001935 |
| Provider Name | Karla Yanitza Rodriguez Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205475431 PECOS PAC ID: 8527484146 Enrollment ID: I20200813001458 |
| Provider Name | Ehiliana Isabel Conde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154911212 PECOS PAC ID: 1759797152 Enrollment ID: I20210310000445 |
| Provider Name | Benet Fanfan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524091 PECOS PAC ID: 4183031768 Enrollment ID: I20210326000633 |
| Provider Name | Gwendolyn Henson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700128832 PECOS PAC ID: 6709011083 Enrollment ID: I20210331001133 |
| Provider Name | Willma L Padro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184935900 PECOS PAC ID: 1557779592 Enrollment ID: I20210413000299 |
| Provider Name | Natasha L Fenelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003426883 PECOS PAC ID: 4688082464 Enrollment ID: I20210415001127 |
| Provider Name | Naicis Maura Chirino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417598954 PECOS PAC ID: 3577971159 Enrollment ID: I20210420001764 |
| Provider Name | Seidy Delgado Pons |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093827644 PECOS PAC ID: 3577562016 Enrollment ID: I20210506002802 |
| Provider Name | Agustin Vanoni |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144561184 PECOS PAC ID: 4688933401 Enrollment ID: I20210514002457 |
| Provider Name | Barbara Np Pierre-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895375 PECOS PAC ID: 6608275805 Enrollment ID: I20210520000232 |
| Provider Name | Maria Del Mar Colon Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831754555 PECOS PAC ID: 9739588401 Enrollment ID: I20210528001986 |
| Provider Name | Marie C Marcano-ortiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578688750 PECOS PAC ID: 9234488529 Enrollment ID: I20211118000487 |
| Provider Name | Juan A Martin Lissabet |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649332792 PECOS PAC ID: 9931090636 Enrollment ID: I20211216001999 |
| Provider Name | Stephanie Marie Delgado Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245786946 PECOS PAC ID: 1456742865 Enrollment ID: I20211220000372 |
| Provider Name | Pedro M Torres Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730119165 PECOS PAC ID: 6406958099 Enrollment ID: I20220107000223 |
| Provider Name | Ricardo R Sanchez Maceira |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306873971 PECOS PAC ID: 3274627542 Enrollment ID: I20220112000968 |
| Provider Name | Ilsa M Negron Negron |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962631713 PECOS PAC ID: 3779752027 Enrollment ID: I20220222002694 |
| Provider Name | Danice Blaise |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255829966 PECOS PAC ID: 1355738899 Enrollment ID: I20220502000035 |
| Provider Name | Luis Almaguer Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972160232 PECOS PAC ID: 8224425632 Enrollment ID: I20220503000743 |
| Provider Name | Arianne Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679234413 PECOS PAC ID: 8123406550 Enrollment ID: I20220525003068 |
| Provider Name | Brunilda Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407512999 PECOS PAC ID: 9537547880 Enrollment ID: I20220527001958 |
| Provider Name | Luis Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699423012 PECOS PAC ID: 6709264989 Enrollment ID: I20220531000626 |
| Provider Name | Chelsea Dawn Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659899375 PECOS PAC ID: 4587921895 Enrollment ID: I20220531001297 |
| Provider Name | Maikel Mitchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609406370 PECOS PAC ID: 0244618445 Enrollment ID: I20220531001468 |
| Provider Name | Paul Naenge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972018364 PECOS PAC ID: 4486032687 Enrollment ID: I20220531001631 |
| Provider Name | Tricia K Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285973883 PECOS PAC ID: 5991948747 Enrollment ID: I20220531002523 |
| Provider Name | Justa Crespo Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073659702 PECOS PAC ID: 5597717520 Enrollment ID: I20220606002875 |
| Provider Name | Rick Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396079562 PECOS PAC ID: 3375938673 Enrollment ID: I20220607001869 |
| Provider Name | Sarybeth Rodriguez Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588305858 PECOS PAC ID: 4587043708 Enrollment ID: I20220617002554 |
| Provider Name | Jesus Gambino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447907555 PECOS PAC ID: 3173902152 Enrollment ID: I20220622000885 |
| Provider Name | Mark T Rorrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851396659 PECOS PAC ID: 0749200202 Enrollment ID: I20220624001025 |
| Provider Name | Nelson Homero Gil Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013332865 PECOS PAC ID: 4789077165 Enrollment ID: I20220627001404 |
| Provider Name | Hector John Marti Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851985642 PECOS PAC ID: 0042609489 Enrollment ID: I20220710000120 |
| Provider Name | Jose Damian Diaz Albelo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467018382 PECOS PAC ID: 7113308826 Enrollment ID: I20220712004239 |
| Provider Name | Maria T Muriente Guzman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861658478 PECOS PAC ID: 9638368244 Enrollment ID: I20220810003941 |
| Provider Name | Harold Velaydez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225612286 PECOS PAC ID: 2860875523 Enrollment ID: I20220814000020 |
| Provider Name | David Ellens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780785402 PECOS PAC ID: 5698782274 Enrollment ID: I20220818002026 |
| Provider Name | Uriel A. Pont Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437353703 PECOS PAC ID: 5698164622 Enrollment ID: I20220818002717 |
| Provider Name | Lisa D Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699401935 PECOS PAC ID: 1951784081 Enrollment ID: I20220822003336 |
| Provider Name | Rinat Rene Tamames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003577172 PECOS PAC ID: 3476937665 Enrollment ID: I20220907003590 |
| Provider Name | Antonio E Garcia Arano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407594435 PECOS PAC ID: 2264809649 Enrollment ID: I20221028001157 |
| Provider Name | Toru Hashida |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952794901 PECOS PAC ID: 4183932965 Enrollment ID: I20221121001975 |
| Provider Name | Amanda Bahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245785013 PECOS PAC ID: 2860776481 Enrollment ID: I20221220002368 |
| Provider Name | Megan Kathleen Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649837907 PECOS PAC ID: 5597135970 Enrollment ID: I20221229000452 |
| Provider Name | Daniel J Gonzalez Respeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477274249 PECOS PAC ID: 4385015551 Enrollment ID: I20230126000202 |
| Provider Name | Gilda Ines Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659772895 PECOS PAC ID: 3971975764 Enrollment ID: I20230203000742 |
| Provider Name | Gisselle Van Etten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235809476 PECOS PAC ID: 4284007279 Enrollment ID: I20230222000205 |
| Provider Name | Cindy Lanza-cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265178537 PECOS PAC ID: 8224402755 Enrollment ID: I20230323000364 |
| Provider Name | Mayelin Diaz Cuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528724853 PECOS PAC ID: 4486028982 Enrollment ID: I20230324000181 |
| Provider Name | Alda M O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265603294 PECOS PAC ID: 2062887276 Enrollment ID: I20230331000123 |
| Provider Name | Aida R Berdasco Paz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801820543 PECOS PAC ID: 5496990152 Enrollment ID: I20230505000973 |
| Provider Name | Milka Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407201189 PECOS PAC ID: 4284910407 Enrollment ID: I20230613001743 |
| Provider Name | Angel Rentas Leon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407092877 PECOS PAC ID: 0042406647 Enrollment ID: I20230811000215 |
| Provider Name | Luis Angel Aponte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588335277 PECOS PAC ID: 4981092772 Enrollment ID: I20230829004230 |
| Provider Name | Alexis Francisco Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821775537 PECOS PAC ID: 5395190961 Enrollment ID: I20231017002571 |
| Provider Name | Milady Irizarry Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528285954 PECOS PAC ID: 8820167265 Enrollment ID: I20240126002463 |
| Provider Name | Martha Maria Bonett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427827138 PECOS PAC ID: 8921441361 Enrollment ID: I20240213001447 |
| Provider Name | Aldo Alexis Goldsztein Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457703464 PECOS PAC ID: 4880902337 Enrollment ID: I20240312004237 |
| Provider Name | Ingrid Mercedes Abreu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811099120 PECOS PAC ID: 5597157834 Enrollment ID: I20240417004219 |
| Provider Name | Crisbel Rosabal Pernas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730820051 PECOS PAC ID: 1355781444 Enrollment ID: I20240507001594 |
Instant Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Sandlake Commons Blvd Ste 227, Orlando, FL 32819 Phone: 407-426-4099 Fax: 407-809-5243 | |
Orlando Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 N Nowell St, Orlando, FL 32808 Phone: 407-290-9556 Fax: 407-290-9509 | |
The Concierge Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8976 Conroy Windermere Rd, Orlando, FL 32835 Phone: 321-848-4986 | |
Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
The Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 208, Orlando, FL 32819 Phone: 407-648-5252 Fax: 407-370-4126 | |
Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Sandlake Commons Blvd, Suite 1102, Orlando, FL 32819 Phone: 407-355-7478 Fax: 407-354-2431 |