Gualberto Oquendo, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME114521 Issued in FL

Practice address

720 Almond St
Clermont, FL 34711-3124

Phone

(352) 404-6959

Fax

(352) 404-6960

NPI assigned

Sep 17, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Gualberto Oquendo-Roman Other name

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

Specialty

Physical Medicine and Rehabilitation

Education

University of Puerto Rico School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Margarita Correa LLCGroup PAC ID 4183769326, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDCBCA/Endpoint/EDCBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Margarita Correa LLC

  dba Physical Medicine Institute

  • Physical Medicine & Rehabilitation Physician
  • Clermont, FL
  • NPI 1841483393

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• South Lake Hospital, Inc.

  dba Orlando Health South Lake Hospital

  • General Acute Care Hospital
  • Clermont, FL
  • NPI 1336221019
  Care Compare affiliation

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093964819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ALMOND ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113124",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ALMOND ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113124",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Wilkinson St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031047",
            "country_code": "US",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1198 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417560",
            "country_code": "US",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OQUENDO",
        "first_name": "GUALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "114521",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "18433",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME114521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007737500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUALBERTO",
            "last_name": "OQUENDO-ROMAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Ongko, MS, LMHC
• Eruojotule Anthony Onokwu, FNP-BC
• Miriam Azuka Onugha
• Lauren Opitz
• Optimum Care Clinic, LLC (Optimum Care Clinic)
• Oral-Facial Surgical Arts PA
• Orange Anesthesia Associates, Inc.
• Orange Doc Family Medicine,PLLC
• Orlando Family Physicians, LLC (Urban Health)
• Orlando Foot and Ankle Clinic Inc (Orlando Foot & Ankle Clinic)

• Physical Medicine & Rehabilitation Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.