Organization Active NPI

GHL Medical PA

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1164009544
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GHL MEDICAL PA
Practice address
6001 Vineland Rd Ste 108
Orlando, FL 32819-7829
Phone
(407) 723-8585
Fax
(407) 723-0022
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Dr. Larry Guillermo Liriano-Espinal, MD
Title
Owner
Phone
(787) 478-5618

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084S0012X

Addresses

Primary practice location

6001 Vineland Rd Ste 108
Orlando, FL 32819-7829

Mailing address

6001 Vineland Rd Ste 108
Orlando, FL 32819-7829
Phone (407) 723-8585

Other identifiers 2

IdentifierTypeStateIssuer
H05SOOtherFLFLORIDA BLUE
110239400MedicaidFL

National Provider Directory

National Provider Directory

Locations

6001 Vineland Rd
Ste 108
Orlando, FL 32819
Phone (407) 298-4045

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1164009544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-723-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-723-8585",
            "fax_number": "407-723-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHL MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "LIRIANO-ESPINAL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-478-5618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "H05SO",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110239400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.