Active NPI
Ana M. Jorquera MD PA
- Specialist
- Jacksonville, FL
National Provider Identifier
1396931200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME47293
- Legal business name
- ANA M. JORQUERA MD PA
- Practice address
- 9765 San Jose Blvd Ste 105
Jacksonville, FL 32257-5467 - Phone
- (904) 268-1166
- Fax
- (904) 268-1037
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ana Maria Jorquera, MD
- Title
- Medical Doctor
- Phone
- (904) 268-1166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME47293 | FL | Primary |
Addresses
Primary practice location
9765 San Jose Blvd Ste 105
Jacksonville, FL 32257-5467
Mailing address
9765 San Jose Blvd Ste 105
Jacksonville, FL 32257-5467
Phone (904) 268-1166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130017325 | Other | FL | RAILROAD MEDICARE |
| 056715900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
9765 San Jose Blvd
Ste 105
Jacksonville, FL 32257
Phone (904) 268-1166
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1356350235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1396931200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9765 SAN JOSE BLVD STE 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575467",
"telephone_number": "904-268-1166",
"fax_number": "904-268-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9765 SAN JOSE BLVD STE 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575467",
"telephone_number": "904-268-1166",
"fax_number": "904-268-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANA M. JORQUERA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "JORQUERA",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "904-268-1166",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME47293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130017325",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056715900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.