Active NPI
Wandaly Ibon Pardo-Ruiz, M.D.
- Hematology & Oncology Physician
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 18,117
- Practice address
- 658 Oviedo Medical Dr
Oviedo, FL 32765-6574 - Phone
- (407) 901-9076
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 18,117 | PR | Primary |
Addresses
Primary practice location
658 Oviedo Medical Dr
Oviedo, FL 32765-6574
Mailing address
1191 Pallister LN
Lake Mary, FL 32746-1950
Phone (787) 225-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Puerto Rico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2776 Enterprise Rd
Suite 100
Orange City, FL 32763-8316
Phone (386) 774-1223
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 91.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18,117 | PR | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Florida Cancer Centers LLC | Hematology & Oncology | Current | Accepting new patients |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients |
Locations
2776 Enterprise Rd
#100
Orange City, FL 32763
Phone (386) 774-1223
658 Oviedo Medical Dr
Oviedo, FL 32765
Phone (407) 265-2540
2100 W 1st St
Sanford, FL 32771
Phone (407) 323-2250
715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216
Organizations & group practices 2
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.
-
dba Mid-Florida Hematology & Oncology Centers PA
- Specialist
- Orange City, FL
- NPI 1255369955
Hematology & Oncology
-
dba Grupo Centro de Cancer Auxilio Mutuo
- General Acute Care Hospital
- San Juan, PR
- NPI 1376561522
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba HCA Florida Lake Monroe Hospital
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
-
dba HCA Florida Oviedo Medical Center
- General Acute Care Hospital
- Oviedo, FL
- NPI 1245785567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1154525566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 PALLISTER LN",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461950",
"telephone_number": "787-225-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 OVIEDO MEDICAL DR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656574",
"telephone_number": "407-901-9076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO-RUIZ",
"first_name": "WANDALY",
"middle_name": "IBON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PR",
"license": "18,117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.
- 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.