Active NPI
Carrasquero Pediatrics and Associates
Doing business as Wekiva Springs Pediatrics
- Specialist
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME99334
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279635000 | Medicaid | FL |
Other names 1
- Wekiva Springs Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2045007 | Wekiva Springs Pediatrics | Certificate of waiver | Aug 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Longwood, FL
- NPI 1437351533
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.