Individual provider Active NPI

Arelis Rodriguez Caban, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1467566711
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN679 Issued in FL
Practice address
737 S Semoran Blvd
Orlando, FL 32807-3121
Phone
(321) 247-4960
Fax
(833) 963-0116
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16540 PR
General Practice Physician 208D00000X ACN679 FL Primary

Addresses

Primary practice location

737 S Semoran Blvd
Orlando, FL 32807-3121

Mailing address

737 S Semoran Blvd
Orlando, FL 32807-3121
Phone (321) 247-4960

Other identifiers 2

IdentifierTypeStateIssuer
16540OtherPRMEDICNE DOCTOR LICENSE
ACN679OtherFLMEDICINE DOCTOR LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ARodriguez212@centerwellprimarycare.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150827001429 FL Practitioner - General Practice 1153326160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

737 S Semoran Blvd
Orlando, FL 32807-3121
Phone (321) 247-4960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN679FLMDGeneral Practice Physician
16540PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. General Practice Current Accepting new patients
Centerwell Senior Primary Care FL Inc General Practice Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice CurrentSince May 15, 2023 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Current Accepting new patients
Centerwell Senior Primary Care FL Inc General Practice CurrentSince May 15, 2023 Accepting new patients

Locations

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

1049 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 884-2952

946 State Road 436
Casselberry, FL 32707
Phone (407) 831-3141

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

2577 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-8338

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

11242 E Colonial Dr
Orlando, FL 32817
Phone (402) 273-7373

737 S Semoran Blvd
Orlando, FL 32807
Phone (321) 247-4960

207 W Gore St
Ste 200
Orlando, FL 32806
Phone (407) 409-8118

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: arodriguez212@centerwellprimarycare.com
  • Direct secure messaging: arelis.rodriguez.caban.1@29601.direct.athenahealth.com

Organizations & group practices 7

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1467566711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073121",
            "telephone_number": "321-247-4960",
            "fax_number": "833-963-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073121",
            "telephone_number": "321-247-4960",
            "fax_number": "833-963-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ CABAN",
        "first_name": "ARELIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16540",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICNE DOCTOR LICENSE",
            "identifier": "16540",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICINE DOCTOR LIC",
            "identifier": "ACN679",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ARodriguez212@centerwellprimarycare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "737 S Semoran Blvd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328073121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.