Active NPI
Belen A Bohorquez, PA
- Physician Assistant
- Ocala, FL
National Provider Identifier
1245059146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9119732
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9119732 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Dermatology LLC | Past | 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.
-
- Dermatology Physician
- Lady Lake, FL
- NPI 1235938341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.