Mauricio E Rangel, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME104216 Issued in FL

Practice address

10008 N Dale Mabry Hwy Ste 120
Tampa, FL 33618-4424

Phone

(813) 328-3911

Fax

(813) 373-5087

NPI assigned

Apr 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Medical Home Alliance LLC

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1134896004
  NPD
• Medical Home Alliance LLC

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)
• Premier Community Healthcare Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Zephyrhills, FL
  • NPI 1508445362

  General Practice

  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1104069582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "813-373-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 N DALE MABRY HWY STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184424",
            "telephone_number": "813-328-3911",
            "fax_number": "813-373-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "MAURICIO",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME104216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001353000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ignacio Jose Ranero, M.D
• Amy Rang
• Ramkumar Rangasamy
• Laporsha Shane Range
• Laura Rangel-Orellanos
• Orlando S Rangel, MD
• Tara Rangsiyawaranon
• Tulika Ranjan, M.D.
• Joseph Rankin
• Maria Nieves Vicente Ranola, RDN, LDN, CLC

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.