Individual provider Active NPI

Teresa Valdes Egido, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1235000241
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042092 Issued in FL
Practice address
2462 E Illiana St
Orlando, FL 32806-5765
Phone
(407) 223-8905
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11042092 FL Primary

Addresses

Primary practice location

2462 E Illiana St
Orlando, FL 32806-5765

Mailing address

2462 E Illiana St
Orlando, FL 32806-5765
Phone (407) 223-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211000809 FL Practitioner - Nurse Practitioner 4688153596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keiler Heberto Moreno Rivero, P.aGroup PAC ID 6002153145, 14 clinicians

Practice addresses (Care Compare)

2940 Mallory Cir
Suite 202
Celebration, FL 34747-1818
Phone (407) 269-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11042092FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keiler Heberto Moreno Rivero, P.a. CurrentSince Feb 1, 2026 Accepting new patients

Locations

1065 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 269-8550

2940 Mallory Cir
Ste 202
Kissimmee, FL 34747
Phone (407) 269-8550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEAGBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1235000241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 E ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065765",
            "telephone_number": "407-223-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 E ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065765",
            "telephone_number": "407-223-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES EGIDO",
        "first_name": "TERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.