Individual provider Active NPI

Ricardo R Sanchez Maceira, M.D.

  • General Practice Physician
  • Davenport, FL
National Provider Identifier
1306873971
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14402 Issued in PR
Practice address
111 Webb Dr
Davenport, FL 33837-3962
Phone
(863) 421-9447
Fax
(863) 421-1806
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1387 FL
General Practice Physician 208D00000X 14402 PR Primary

Addresses

Primary practice location

111 Webb Dr
Davenport, FL 33837-3962

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (321) 527-1065

Other identifiers 1

IdentifierTypeStateIssuer
14402OtherPRMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070917000660 PR Practitioner - General Practice 3274627542 Practice locations: Aibonito, PR; Guaynabo, PR
I20220112000968 FL Practitioner - General Practice 3274627542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Calle Carazo
Guaynabo, PR 00969-5717

6675 Westwood Blvd
Suite 475
Orlando, FL 32821-6027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Alliance LLC CurrentSince Nov 18, 2021 Accepting new patients
Michael G. Degnan, LLC PastSince Sep 3, 1999 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Asomante Medical Group General Practice Past Accepting new patients

Locations

111 Webb Dr
Davenport, FL 33837
Phone (863) 421-9447

181 Webb Dr
Ste A
Davenport, FL 33837
Phone (863) 419-1235

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

199 Avenue K SE
Winter Haven, FL 33880
Phone (563) 588-1424

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1306873971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "321-527-1065",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEBB DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373962",
            "telephone_number": "863-421-9447",
            "fax_number": "863-421-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ MACEIRA",
        "first_name": "RICARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1387",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14402",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.