Organization Active NPI

Med Y One LLC

  • Health Service Clinic/Center
  • Orlando, FL
National Provider Identifier
1174396774
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MED Y ONE LLC
Practice address
1205 Rich Moor Cir
Orlando, FL 32807-6261
Phone
(407) 234-3922
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Mr. Elvis Caballero, RN, CMO
Title
Co-Owner/ Founder
Phone
(407) 234-3922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1205 Rich Moor Cir
Orlando, FL 32807-6261

Mailing address

1205 Rich Moor Cir
Orlando, FL 32807-6261
Phone (407) 234-3922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1174396774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 RICH MOOR CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076261",
            "telephone_number": "407-234-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RICH MOOR CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076261",
            "telephone_number": "407-234-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED Y ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "CO-OWNER/ FOUNDER",
        "authorized_official_telephone_number": "407-234-3922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, CMO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 6, 2023; 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.