Active NPI
Mercedes Garrido, MD
- Family Medicine Physician
- Deltona, FL
National Provider Identifier
1477645067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME49000
- Practice address
- 2160 Howland Blvd
Suite 110
Deltona, FL 32738-3467 - Phone
- (386) 532-0515
- Fax
- (386) 532-0516
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME49000 | FL | Primary |
Addresses
Primary practice location
2160 Howland Blvd
Suite 110
Deltona, FL 32738-3467
Mailing address
2160 Howland Blvd
Suite 110
Deltona, FL 32738-3467
Phone (386) 532-0515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049478000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME49000 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastcoast Medical Network Inc | Family Medicine | Past | Accepting new patients |
| Metcare of Florida, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba The Medical Concierge
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1013128420
Family Medicine
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1477645067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 HOWLAND BLVD",
"address_2": "SUITE 110",
"city": "DELTONA",
"state": "FL",
"postal_code": "327383467",
"telephone_number": "386-532-0515",
"fax_number": "386-532-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 HOWLAND BLVD",
"address_2": "SUITE 110",
"city": "DELTONA",
"state": "FL",
"postal_code": "327383467",
"telephone_number": "386-532-0515",
"fax_number": "386-532-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRIDO",
"first_name": "MERCEDES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME49000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049478000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.