Individual provider Active NPI

Janmary Figueroa, M.D.

  • Internal Medicine Physician
  • Lakeland, FL
National Provider Identifier
1053779173
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME132368 Issued in FL
Practice address
206 N Florida Ave
Lakeland, FL 33801-4902
Phone
(863) 209-7003
Fax
(863) 284-3083
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 31919 PR
Internal Medicine Physician 207R00000X ME132368 FL Primary

Addresses

Primary practice location

206 N Florida Ave
Lakeland, FL 33801-4902

Mailing address

58 Calle Jardines del Caribe
4327
Ponce, PR 00728-1115
Phone (787) 532-6123

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
I20170830000253 FL Practitioner - General Practice 9436422235 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132368FLMDInternal Medicine Physician
31919PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 18, 2017 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 18, 2017 Accepting new patients

Locations

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 2

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053779173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CALLE JARDINES DEL CARIBE",
            "address_2": "4327",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281115",
            "telephone_number": "787-532-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014902",
            "telephone_number": "863-209-7003",
            "fax_number": "863-284-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "JANMARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "31919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.