Prudencio P Aqui, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0027856 Issued in FL

Practice address

2133 S Combee Rd
Sterling Square
Lakeland, FL 33801

Phone

(863) 666-1366

Fax

(863) 667-0497

NPI assigned

Nov 30, 2006

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1174690358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S COMBEE RD",
            "address_2": "STERLING SQUARE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-666-1366",
            "fax_number": "863-667-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 S COMBEE RD",
            "address_2": "STERLING SQUARE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-666-1366",
            "fax_number": "863-667-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUI",
        "first_name": "PRUDENCIO",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0027856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel V Aportela
• Letty Appelboom
• Applied Behavioral Learning Experiences, Inc
• Applied Behavioral Learning Experiences, Inc.
• Apria Healthcare LLC
• Marcelina Rivera Aquilo, CRNA
• David Jose Aranda, LCSW
• Loreta Araoz Soler
• Cristiane Tonia Arboleda, APRN
• Michael Stanley Arbour, CRNA

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.