Isabel Victoria Hidalgo Acosta I, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME144764 Issued in FL

Practice address

4715 S Florida Ave Ste 200
Lakeland, FL 33813-2101

Phone

(863) 209-7004

Fax

(863) 274-3542

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Brazilian Clinic LLC

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1669095808
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD
• SFP PC Holdings, Inc.

  • Multi-Specialty Clinic/Center
  • Davenport, FL
  • NPI 1225923667
  NPD
• Unity Care Center LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1902751365
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1376924191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 S FLORIDA AVE STE 200",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132101",
            "telephone_number": "863-209-7004",
            "fax_number": "863-274-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 S FLORIDA AVE STE 200",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132101",
            "telephone_number": "863-209-7004",
            "fax_number": "863-274-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO ACOSTA",
        "first_name": "ISABEL",
        "middle_name": "VICTORIA",
        "name_suffix": "I",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME144764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather H. Heye, PT
• HHNS, LLC.
• Matthew Allen Hibdon, DO
• Katherine Vanessa Hickey, APRN
• Dontae Hicks, LCSW
• Amanda Lynn Hidalgo, AU.D.
• Highland Center for Orthopedics & Upper Extremity Surgery P a
• Highland Park Dental
• Highlands Lake Center, LLC
• Highlands Occupational Therapy, Inc

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, 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 Feb 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.