Cynthia M Banuchi-Rios, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1168 Issued in FL

Practice address

109 N Doverplum Ave
Kissimmee, FL 34758

Phone

(407) 943-8600

Fax

(407) 943-8600

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Valora Medical Center of Florida LLC

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1316705650
  Medicare reassignment NPD
• VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Saint Cloud, FL
  • NPI 1134738974
  Medicare reassignment NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1124234034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444428",
            "telephone_number": "407-943-8600",
            "fax_number": "407-943-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N DOVERPLUM AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34758",
            "telephone_number": "407-943-8600",
            "fax_number": "407-943-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2328 Calle Barcelona",
            "address_2": "URB LA RAMBLA",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007304088",
            "country_code": "US",
            "telephone_number": "787-677-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANUCHI-RIOS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ACN1168",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefany Andreina Ballan
• Rorie Nicole Balloun
• Ansuya N Balroop, PA
• Karamali Abdulsultan Bandealy, M.D.,
• Bannel Associates LLC (Bannel Total Wellness)
• Christopher Angelo Banuchi
• Michelle Banuchi
• Saiping Bao, APRN
• Anne Julie Baptiste, RN
• Jessica Baptiste

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, 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 11, 2021; 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.