Isa Medical Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ISA MEDICAL CENTER LLC

Practice address

9350 W US-192 Hwy
Davenport, FL 33897

Phone

(786) 280-6011

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Isabel Cristina Anez Diaz

Title

Manager Member

Phone

(407) 209-5451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hector David Gallego-Sanchez, MD

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1568720779
  Medicare reassignment NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1568279255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 W US-192 HWY",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 W US-192 HWY",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33897",
            "telephone_number": "786-280-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "ANEZ DIAZ",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "407-209-5451"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malwina Huzarska, PA
• Linda Hyland
• I Care Home & Companion Service LLC
• Erika Massiel Icabalzeta
• Henry Imagbe
• Andrew George Iten
• Shantay Jackson
• Manuel G Jain, MD
• Nasseam M James
• Zuleima Janssen, ARNP

• Clinic/Center in Davenport, FL
• Providers in Davenport, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.