Individual provider Active NPI

Maria Aurora Campa Huergo, MD

  • General Practice Physician
  • Riverview, FL
National Provider Identifier
1124453808
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN513 Issued in FL
Practice address
10508 Gibsonton Dr
Riverview, FL 33578-5434
Phone
(813) 741-2100
Fax
(813) 741-2003
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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 ACN513 FL Primary
General Practice Physician 208D00000X 020509 PR

Addresses

Primary practice location

10508 Gibsonton Dr
Riverview, FL 33578-5434

Mailing address

10508 Gibsonton Dr
Riverview, FL 33578-5434
Phone (813) 741-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1124453808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785434",
            "telephone_number": "813-741-2100",
            "fax_number": "813-741-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785434",
            "telephone_number": "813-741-2100",
            "fax_number": "813-741-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPA HUERGO",
        "first_name": "MARIA",
        "middle_name": "AURORA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN513",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "020509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.