Individual provider Active NPI

Maria Josefina Prieto, M.D.

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1386646750
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0058459 Issued in FL
Practice address
5383 Primrose Lake Cir # B1
Tampa, FL 33647-3520
Phone
(813) 733-7121
Fax
(813) 733-7399
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0058459 FL Primary

Addresses

Primary practice location

5383 Primrose Lake Cir # B1
Tampa, FL 33647-3520

Mailing address

5383 Primrose Lake Cir # B1
Tampa, FL 33647-3520
Phone (813) 733-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058459FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria J. Prieto, M.D. P.a. General Practice PastSince Mar 12, 1992 Accepting new patients
Medi Prime Care LLC PastSince Mar 1, 2020 Accepting new patients
Bluestone Physician Services Southeast LLC General Practice Past Accepting new patients
Rural Medical Associates Inc General Practice Past Accepting new patients

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1386646750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 PRIMROSE LAKE CIR # B1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473520",
            "telephone_number": "813-733-7121",
            "fax_number": "813-733-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 PRIMROSE LAKE CIR # B1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473520",
            "telephone_number": "813-733-7121",
            "fax_number": "813-733-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "MARIA",
        "middle_name": "JOSEFINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0058459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.