Edelio Valentin De Zayas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11008063 Issued in FL

Practice address

7763 Segovia St
Orlando, FL 32822-8036

Phone

(407) 952-6686

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEBFCA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vip Family HHC, LLC

  • Home Health Agency
  • Orlando, FL
  • NPI 1992571376

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vip Family Practice LLC

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1669725552
  Medicare reassignment NPD
• Vip Family HHC, LLC

  • Home Health Agency
  • Orlando, FL
  • NPI 1992571376
  NPD (past)

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1134747470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 SEGOVIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228036",
            "telephone_number": "407-952-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 SEGOVIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228036",
            "telephone_number": "407-952-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ZAYAS",
        "first_name": "EDELIO",
        "middle_name": "VALENTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos L De Orduna, MD
• De Paso Medical Supply Corporation
• Mia Lucia A De Rueda
• Alan Atogamis De Souza, PT
• Ludmila C De Souza, APRN
• Deaf2Deaf
• Joshua Heith Deal, D.C.
• Naishali Deally
• A'Trenique Tramani Deamus
• Tyra Dean-Ousley, EDD, APN, FNP-BC

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.