Individual provider Active NPI

Dennis David Hidalgo Acuna, PBT

  • Phlebotomy Technician
  • Mount Dora, FL
National Provider Identifier
1497566335
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
4566632147DH Issued in FL
Practice address
2508 Spring Harbor Cir Apt 2
Mount Dora, FL 32757-1912
Phone
(352) 279-8770
Fax
(507) 632-8182
NPI assigned
Jan 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X 4566632147DH FL Primary

Addresses

Primary practice location

2508 Spring Harbor Cir Apt 2
Mount Dora, FL 32757-1912

Mailing address

2508 Spring Harbor Cir Apt 2
Mount Dora, FL 32757-1912
Phone (352) 279-8770

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4566632147DHFLMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1497566335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 SPRING HARBOR CIR APT 2",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327571912",
            "telephone_number": "352-279-8770",
            "fax_number": "507-632-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 SPRING HARBOR CIR APT 2",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327571912",
            "telephone_number": "352-279-8770",
            "fax_number": "507-632-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO ACUNA",
        "first_name": "DENNIS",
        "middle_name": "DAVID",
        "credential": "PBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "4566632147DH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.