Gloria Ivette Pacheco, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001130 Issued in FL

Practice address

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802

Phone

(407) 730-9911

Fax

(407) 778-1479

NPI assigned

May 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vip Health Assistance LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1033502182
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1336707876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-730-9911",
            "fax_number": "407-778-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-730-9911",
            "fax_number": "407-778-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "GLORIA",
        "middle_name": "IVETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan M Pacheco Bloch, MD
• Adonys Pacheco Fonte
• Marisely Pacheco Orta, MOTR/L
• Anthony Pacheco, PA
• Carlos R Pacheco, M.D.
• Magda Liliana Pacheco
• Nitzela Pacheco
• Rosa M Pacheco, MD
• Yesenia Pacheco
• Yessenia Pacheco

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.