Individual provider Active NPI

Coral Candelario-Velazquez

  • Pediatric Rehabilitation Medicine Physician
  • Orlando, FL
National Provider Identifier
1043694532
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
150122 Issued in FL
Practice address
100 W Gore St Ste 600
Orlando, FL 32806-1051
Phone
(321) 842-4067
Fax
(321) 843-6521
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 150122 FL Primary

Addresses

Primary practice location

100 W Gore St Ste 600
Orlando, FL 32806-1051

Mailing address

100 W Gore St Ste 600
Orlando, FL 32806-1051
Phone (321) 842-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210720003558 FL Practitioner - Physical Medicine and Rehabilitation 3274936810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

100 W Gore St
Orlando, FL 32806-1044
Phone (321) 841-3820

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150122FLMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

100 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

100 W Gore St
Ste 600
Orlando, FL 32806
Phone (321) 842-6671

Interoperability endpoints

  • Direct secure messaging: ccandelariovelazquez153540@direct.nemours.org
  • Direct secure messaging: ccandelariovelazquez270654@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1043694532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061051",
            "telephone_number": "321-842-4067",
            "fax_number": "321-843-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061051",
            "telephone_number": "321-842-4067",
            "fax_number": "321-843-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO-VELAZQUEZ",
        "first_name": "CORAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "FL",
            "license": "150122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.