Individual provider Active NPI

Maria Victoria Hongco Perez

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1245778794
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9191229 Issued in FL
Practice address
10701 International Dr
Orlando, FL 32821-7392
Phone
(407) 355-0929
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

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 9191229 FL Primary

Addresses

Primary practice location

10701 International Dr
Orlando, FL 32821-7392

Mailing address

2800 White Magnolia Loop
Clermont, FL 34711-6253
Phone (352) 250-7556

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
I20170418000256 FL Practitioner - Nurse Practitioner 5294011763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9191229FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fabio Echavarria, MD, PA CurrentSince Nov 16, 2018 Accepting new patients

Locations

1715 E Highway 50
Ste C
Clermont, FL 34711
Phone (352) 243-7495

Interoperability endpoints

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

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": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1245778794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WHITE MAGNOLIA LOOP",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116253",
            "telephone_number": "352-250-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 INTERNATIONAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217392",
            "telephone_number": "407-355-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA VICTORIA",
        "middle_name": "HONGCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9191229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.