Active NPI
Edgar Rafael Valdez Quinonez
- Gerontology Nurse Practitioner
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11009595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11009595 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Multicare Physicians PSC | Current | 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
- edgar.valdezquinonez@wwmp.eclinicaldirectplus.com
- 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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Family Medicine Physician
- Doral, FL
- NPI 1396124046
-
- Family Medicine Physician
- Deltona, FL
- NPI 1316306871
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.