Individual provider Active NPI

Guillermo Lorenzo, PA

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1114106051
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9100415 Issued in FL
Practice address
5555 E Michigan St Ste 103
Orlando, FL 32822-2700
Phone
(407) 456-2977
Fax
(407) 745-4688
NPI assigned
Oct 28, 2007
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9100415 FL Primary
Adult Health Clinical Nurse Specialist 364SA2200X 9100415 FL

Addresses

Primary practice location

5555 E Michigan St Ste 103
Orlando, FL 32822-2700

Mailing address

5555 E Michigan St Ste 103
Orlando, FL 32822-2700
Phone (407) 456-2977

Other practice location 1

4343 W Flagler St
Suite # 406
Coral Gables, FL 33134-1586
Phone (305) 447-4466

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GLORENZOPA@OFWC-FL.direct.office.nextgen.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223002002 FL Order and Referring Only - Physician Assistant 2163727579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9100415FLMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
April R. Smith LLC Current Accepting new patients

Locations

5555 E Michigan St
Ste 103
Orlando, FL 32822
Phone (407) 456-2977

Interoperability endpoints

  • Direct secure messaging: glorenzopa@ofwc-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1114106051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E MICHIGAN ST STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222700",
            "telephone_number": "407-456-2977",
            "fax_number": "407-745-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E MICHIGAN ST STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222700",
            "telephone_number": "407-456-2977",
            "fax_number": "407-745-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 W Flagler St",
            "address_2": "Suite # 406",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341586",
            "country_code": "US",
            "telephone_number": "305-447-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "GUILLERMO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9100415",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "FL",
            "license": "9100415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GLORENZOPA@OFWC-FL.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Secure Direct Messaging Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information",
            "address_1": "5555 E Michigan St Ste 103",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328222700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.