Organization Active NPI

Carrasquero Pediatrics and Associates

Doing business as Wekiva Springs Pediatrics

  • Specialist
  • Longwood, FL
National Provider Identifier
1134478605
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME99334 Issued in FL
Legal business name
CARRASQUERO PEDIATRICS AND ASSOCIATES
Doing business as
Wekiva Springs Pediatrics
Practice address
407 Wekiva Springs Road
Suite 110
Longwood, FL 32779
Phone
(407) 790-7998
Fax
(407) 951-8821
NPI assigned
Aug 30, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Dr. Luisa Carrasquero, MD
Title
MD
Phone
(407) 790-7998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME99334 FL Primary

Addresses

Primary practice location

407 Wekiva Springs Road
Suite 110
Longwood, FL 32779

Mailing address

407 Wekiva Springs Road
Suite 110
Longwood, FL 32779
Phone (407) 790-7998

Other identifiers 1

IdentifierTypeStateIssuer
279635000MedicaidFL

Other names 1

  • Wekiva Springs Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2045007Wekiva Springs Pediatrics407 Wekiva Springs Rd Ste 123, Longwood, FL 32779Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Locations

407 Wekiva Springs Rd
Ste 110
Longwood, FL 32779
Phone (407) 790-7998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1134478605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS ROAD",
            "address_2": "SUITE 110",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32779",
            "telephone_number": "407-790-7998",
            "fax_number": "407-951-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS ROAD",
            "address_2": "SUITE 110",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32779",
            "telephone_number": "407-790-7998",
            "fax_number": "407-951-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRASQUERO PEDIATRICS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "CARRASQUERO",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-790-7998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME99334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279635000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wekiva Springs Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.