Eduvigia Ancaya, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME15606 Issued in FL

Practice address

1611 State Road 60 E
Lake Wales, FL 33853-4309

Phone

(863) 676-6007

Fax

(863) 676-7659

NPI assigned

May 27, 2006

Last updated

May 18, 2011By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1548217482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534309",
            "telephone_number": "863-676-6007",
            "fax_number": "863-676-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534309",
            "telephone_number": "863-676-6007",
            "fax_number": "863-676-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCAYA",
        "first_name": "EDUVIGIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME15606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3386725",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "53403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reagan Allen, COTA/L
• Chelsea Allison
• Vanessa L Alvarado
• American Care of North Florida, Inc.
• Ami Home Health,LLC
• Angel of God Heart Support Services LLC
• Apothecary Shop
• Arcadia Healthcare LLC (Dove Healthcare at Lake Wales)
• Ian R Arnan, P.T.
• Brenda Arnold, PTA

• Dermatology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.