Organization Active NPI

Constancia Clinic House Call LLC

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1194635789
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CONSTANCIA CLINIC HOUSE CALL LLC
Practice address
1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159
Phone
(786) 769-0031
Fax
(386) 246-2149
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Humberto Lorenzo Paez, NP
Title
Nurse Practitioner
Phone
(786) 769-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159

Mailing address

1616 Concierge Blvd Ste 100
Daytona Beach, FL 32117-7159
Phone (786) 769-0031

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1194635789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CONCIERGE BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177159",
            "telephone_number": "786-769-0031",
            "fax_number": "386-246-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CONCIERGE BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177159",
            "telephone_number": "786-769-0031",
            "fax_number": "386-246-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCIA CLINIC HOUSE CALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-05",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-769-0031",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.