Milagro Esmeralda Heredia, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1447 Issued in FL

Practice address

608 Ingraham Ave
Haines City, FL 33844-4330

Phone

(863) 422-9562

Fax

(863) 421-3246

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Consultants of Florida LLCGroup PAC ID 6002988847, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Medical Consultants of Florida, LLC

  • Internal Medicine Physician
  • Deerfield Beach, FL
  • NPI 1619169810

  General Practice

  Medicare reassignment Care Compare group NPD
• Health Holdings Company LLC

  • Primary Care Clinic/Center
  • Coral Gables, FL
  • NPI 1336583707
  Medicare reassignment
• Access Medical Group of Lakeland, LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1396391033

  General Practice

  NPD (past)
• Patient Medical Center of Florida Inc

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1891206504

  General Practice

  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1265091136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 INGRAHAM AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444330",
            "telephone_number": "863-422-9562",
            "fax_number": "863-421-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338447803",
            "country_code": "US",
            "telephone_number": "863-358-4849",
            "fax_number": "863-358-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "MILAGRO",
        "middle_name": "ESMERALDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116755000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly Choice Adult Group Home
• Heavenly Choice Adult Home
• Phil Bert Heller, D.C.
• Helping Hand Medical Group, LLC
• Helping Hands of Hanes City Inc
• Lourdes Hernandez
• Frances M Herrera, SW,
• Jessica Herring, PT, DPT
• Hi Five Services LLC
• Hi Five Services LLC

• General Practice Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.

Verify at the official NPI Registry.