Individual provider Active NPI

Catherine M Arevalo, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1548616378
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1005 Issued in FL
Practice address
115 E Lancaster Rd
Orlando, FL 32809-6689
Phone
(407) 378-6686
Fax
(407) 378-4633
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ACN1005 FL Primary

Addresses

Primary practice location

115 E Lancaster Rd
Orlando, FL 32809-6689

Mailing address

115 E Lancaster Rd
Orlando, FL 32809-6689
Phone (407) 680-2273

Other practice location 1

138 Avenida Wiston Churchill
PMB 250
San Juan, PR 00926-6013
Phone (787) 305-8383 ext. 8420

Other names 1

  • Catherine M Uricoechea Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180216001166 FL Practitioner - General PracticePractitioner - Emergency Medicine 9335430362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E Lancaster Rd
Orlando, FL 32809-6689
Phone (407) 378-6686

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Kinds of Pain Inc Single Specialty Current Accepting new patients
Lake Nona Medical Services Single Specialty CurrentSince Jul 6, 2018 Accepting new patients
Xpress Medical Transport Corp Past Accepting new patients

Locations

115 E Lancaster Rd
Orlando, FL 32809
Phone (407) 378-6686

12609 Narcoossee Rd
Ste 200B
Orlando, FL 32832
Phone (407) 268-1831

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1548616378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096689",
            "telephone_number": "407-680-2273",
            "fax_number": "321-274-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096689",
            "telephone_number": "407-378-6686",
            "fax_number": "407-378-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Avenida Wiston Churchill",
            "address_2": "PMB 250",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009266013",
            "country_code": "US",
            "telephone_number": "787-305-8383 x8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "URICOECHEA",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.