Individual provider Active NPI

Juan Carlos Cantu, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1053693580
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN673 Issued in FL
Practice address
7359 Lake Underhill Rd
Orlando, FL 32822-6061
Phone
(407) 900-9284
Fax
(407) 203-8887
NPI assigned
Sep 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18320 PR
General Practice Physician 208D00000X ACN673 FL Primary

Addresses

Primary practice location

7359 Lake Underhill Rd
Orlando, FL 32822-6061

Mailing address

7359 Lake Underhill Rd
Orlando, FL 32822-6061
Phone (407) 900-9284

Other practice location 1

13275 W Colonial Dr
Winter Garden, FL 34787-3984
Phone (407) 905-8827

Other practice location 2

8421 S Orange Blossom Trl Ste 124
Orlando, FL 32809-8243
Phone (407) 900-9284

Other practice location 3

390 S Central Ave
Umatilla, FL 32784-9602
Phone (352) 669-3175

Other practice location 4

16400 S Highway 25
Weirsdale, FL 32195-2442
Phone (352) 821-9797

Other practice location 5

7802 Kingspointe Pkwy Ste 208A
Orlando, FL 32819-8579
Phone (407) 900-9284

Other names 1

  • Dr. Juan Carlos Cantu Galaviz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121019000583 PR Practitioner - General Practice 5294985693 Reassigns benefits to 1 organization
I20180321002148 FL Practitioner - General Practice 5294985693 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN673FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc CurrentSince Mar 6, 2023 Accepting new patients
Pan American Medical Group LLC General Practice CurrentSince Mar 1, 2020 Accepting new patients
Hospital Damas Inc CurrentSince May 28, 2014 Accepting new patients
Community Health Centers, Inc CurrentSince Mar 6, 2023 Accepting new patients
Southern Anesthesia Associates LLC Current Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Privia Medical Group Florida, LLC General Practice CurrentSince Jan 1, 2025 Accepting new patients
H&H Care Center LLC General Practice Past Accepting new patients
Universally Trained Emergency Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

7359 Lake Underhill Rd
Orlando, FL 32822
Phone (407) 900-9284

7802 Kingspointe Pkwy
Ste 208A
Orlando, FL 32819
Phone (407) 900-9284

8421 S Orange Blossom Trl
Ste 124
Orlando, FL 32809
Phone (407) 900-9284

840 Mercy Dr
Pine Hills, FL 32808

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

13275 W Colonial Dr
Winter Garden, FL 34787

110 S Woodland St
Winter Garden, FL 34787

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

286 Calle Monterrey
Ponce, PR 00716

Interoperability endpoints

  • Direct secure messaging: juan.cantu.1@8042.direct.athenahealth.com

Organizations & group practices 10

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": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1053693580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7359 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328226061",
            "telephone_number": "407-900-9284",
            "fax_number": "407-203-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7359 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328226061",
            "telephone_number": "407-900-9284",
            "fax_number": "407-203-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13275 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347873984",
            "country_code": "US",
            "telephone_number": "407-905-8827",
            "fax_number": "407-654-4079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8421 S Orange Blossom Trl Ste 124",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328098243",
            "country_code": "US",
            "telephone_number": "407-900-9284",
            "fax_number": "407-900-7984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Umatilla",
            "state": "FL",
            "postal_code": "327849602",
            "country_code": "US",
            "telephone_number": "352-669-3175",
            "fax_number": "352-669-3640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16400 S Highway 25",
            "address_purpose": "LOCATION",
            "city": "Weirsdale",
            "state": "FL",
            "postal_code": "321952442",
            "country_code": "US",
            "telephone_number": "352-821-9797",
            "fax_number": "352-821-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7802 Kingspointe Pkwy Ste 208A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198579",
            "country_code": "US",
            "telephone_number": "407-900-9284",
            "fax_number": "407-900-7984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-11",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18320",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "CANTU GALAVIZ",
            "middle_name": "CARLOS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.