Individual provider Active NPI

Maricel Tejeda-Oyola, M.D.

  • General Practice Physician
  • Panama City, FL
National Provider Identifier
1487627782
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15447 Issued in PR
Practice address
2309 E 15TH St
Panama City, FL 32405-6345
Phone
(787) 604-2756
NPI assigned
Feb 8, 2006
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 15447 PR Primary

Addresses

Primary practice location

2309 E 15TH St
Panama City, FL 32405-6345

Mailing address

2309 E 15TH St
Panama City, FL 32405-6345
Phone (787) 604-2756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20061103000309 PR Practitioner - General Practice 0648277681 Practice locations: Bayamon, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pancare of Florida, Inc PastSince Sep 1, 2019 Accepting new patients
Pancare of Florida, Inc PastSince Jan 3, 2015 Accepting new patients
Vega Baja Community Health Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1487627782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324056345",
            "telephone_number": "787-604-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324056345",
            "telephone_number": "787-604-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA-OYOLA",
        "first_name": "MARICEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.