Individual provider Active NPI

Belen A Bohorquez, PA

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1245059146
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAT9119732 Issued in FL
Practice address
2723 SE Maricamp Rd
Ocala, FL 34471-5537
Phone
(352) 732-7779
Fax
(352) 732-2664
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PAT9119732 FL Primary

Addresses

Primary practice location

2723 SE Maricamp Rd
Ocala, FL 34471-5537

Mailing address

929 Treadway Dr
Deltona, FL 32738-7941
Phone (407) 818-3154

Other practice location 1

929 Treadway Dr
Deltona, FL 32738-7941
Phone (407) 818-3154

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
I20250304001301 FL Practitioner - Physician Assistant 0749701001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Freeman MD PAGroup PAC ID 4284714189, 6 clinicians

Practice addresses (Care Compare)

2750 SE 17TH St
Ocala, FL 34471-5519
Phone (352) 732-7779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9119732FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Dermatology LLC PastSince Mar 1, 2025 Accepting new patients

Organizations & group practices 4

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1245059146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 TREADWAY DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327387941",
            "telephone_number": "407-818-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 SE MARICAMP RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715537",
            "telephone_number": "352-732-7779",
            "fax_number": "352-732-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Treadway Dr",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327387941",
            "country_code": "US",
            "telephone_number": "407-818-3154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHORQUEZ",
        "first_name": "BELEN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9119732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.