Individual provider Active NPI

Edgar Rafael Valdez Quinonez

  • Gerontology Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1275130551
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11009595 Issued in FL
Practice address
829 Douglas Ave Unit 9
Altamonte Springs, FL 32714-2084
Phone
(321) 207-6108
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11009595 FL Primary

Addresses

Primary practice location

829 Douglas Ave Unit 9
Altamonte Springs, FL 32714-2084

Mailing address

634 Deltona Blvd Ste a
Deltona, FL 32725-8112
Phone (407) 878-7990

Other practice location 1

634 Deltona Blvd Ste A
Deltona, FL 32725-8112
Phone (407) 878-7990

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
I20210113000978 FL Practitioner - Nurse Practitioner 4082027909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

829 Douglas Ave
Unit 9
Altamonte Springs, FL 32714-2084
Phone (321) 207-6108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009595FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Apr 25, 2022 Accepting new patients
Florida Medical Associates LLC CurrentSince Apr 1, 2026 Accepting new patients
Multicare Physicians PSC CurrentSince May 19, 2025 Accepting new patients

Locations

829 Douglas Ave
Unit 9
Altamonte Springs, FL 32714
Phone (321) 207-6108

634 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (407) 878-7990

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Interoperability endpoints

  • Direct secure messaging: edgar.valdezquinonez@wwmp.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14252/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1275130551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258112",
            "telephone_number": "407-878-7990",
            "fax_number": "407-732-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 DOUGLAS AVE UNIT 9",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142084",
            "telephone_number": "321-207-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Deltona Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327258112",
            "country_code": "US",
            "telephone_number": "407-878-7990",
            "fax_number": "407-732-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ QUINONEZ",
        "first_name": "EDGAR",
        "middle_name": "RAFAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11009595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.