Active NPI
Constancia Clinic House Call LLC
- Family Nurse Practitioner
- Daytona Beach, FL
National Provider Identifier
1194635789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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.