Gloriosa Reyes Antiporda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME47869 Issued in FL

Practice address

8225 Normandy Blvd
Jacksonville, FL 32221-6650

Phone

(904) 378-8520

Fax

(904) 378-8570

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gloriosa Reyes Deleon Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gloriosa Antiporda, M.D.,P.a.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1710125349
  NPD (past) Authorized official
• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1497775316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042410",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322216650",
            "telephone_number": "904-378-8520",
            "fax_number": "904-378-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTIPORDA",
        "first_name": "GLORIOSA",
        "middle_name": "REYES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME47869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIOSA",
            "last_name": "DELEON",
            "middle_name": "REYES",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank N Anthony, MD
• Lauren Anthony, LCSW
• Shateya Anthony
• Shelly Anthony, RDH
• Tara S Anthony
• Leon Antoine, LPN, RN
• Roberthe Antoine, APRN
• Steve Marc Antoine, MD
• Macarmenleah Sabado Antolin
• Sophia Anastasia Antonini, DC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.