Organization Active NPI

Ana M. Jorquera MD PA

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1396931200
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME47293 Issued in FL
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

Updated by the provider on Oct 14, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
130017325OtherFLRAILROAD MEDICARE
056715900MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.