Individual provider Active NPI

Francisco Rafael Oquendo, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1124107255
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN598 Issued in FL
Practice address
1140 S Semoran Blvd
Suite E
Orlando, FL 32807-1459
Phone
(407) 384-9165
Fax
(407) 384-9174
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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 15967 PR
Family Medicine Physician 207Q00000X ACN598 FL Primary

Addresses

Primary practice location

1140 S Semoran Blvd
Suite E
Orlando, FL 32807-1459

Mailing address

1140 S Semoran Blvd
Suite E
Orlando, FL 32807-1459
Phone (407) 384-9165

Other identifiers 1

IdentifierTypeStateIssuer
013950700MedicaidFL

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
I20141201000418 FL Practitioner - Family Practice 7012919053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

Practice addresses (Care Compare)

1140 S Semoran Blvd E
PCC of Semoran
Orlando, FL 32807-1459
Phone (407) 384-9165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN598FLMDFamily Medicine Physician
15967PRMDGeneral Practice Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Jul 20, 2020 Accepting new patients
Psychological Empowerment LLC Past Accepting new patients
Grupo Medico Medicina Especializada PastSince Aug 25, 2015 Accepting new patients

Locations

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: francisco.oquendo.1@32578.direct.athenahealth.com

Organizations & group practices 3

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1124107255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-384-9165",
            "fax_number": "407-384-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-384-9165",
            "fax_number": "407-384-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OQUENDO",
        "first_name": "FRANCISCO",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15967",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013950700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.