NPIMap

Individual provider Active NPI

Rebeca Juarbe Arrillaga

  • Internal Medicine Physician
  • Palatka, FL
National Provider Identifier
1619125259
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME134818 Issued in FL
Practice address
6500 Crill Ave
Palatka, FL 32177-9230
Phone
(386) 326-0575
NPI assigned
Sep 8, 2008
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME134818 FL Primary

Addresses

Primary practice location

6500 Crill Ave
Palatka, FL 32177-9230

Mailing address

6500 Crill Ave
Palatka, FL 32177-9230
Phone (386) 326-0575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212001677 FL Practitioner - Internal Medicine 2466619432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Family CareGroup PAC ID 4385888551, 3 clinicians
Express Urgent Care, LLCGroup PAC ID 5991133027, 5 clinicians

Practice addresses (Care Compare)

300 S Main St
Crescent City, FL 32112-2729
Phone (386) 530-4990

6500 Crill Ave
Suite 5
Palatka, FL 32177-9230
Phone (386) 326-0575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134818FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Urgent Care, LLC CurrentSince Feb 9, 2020 Accepting new patients
Express Family Care CurrentSince Oct 9, 2019 Accepting new patients

Locations

300 S Main St
Crescent City, FL 32112
Phone (386) 530-4990

6100 Saint Johns Ave
Ste 3
Palatka, FL 32177
Phone (386) 530-4990

6500 Crill Ave
Palatka, FL 32177
Phone (386) 326-0575

6500 Crill Ave
Ste 1
Palatka, FL 32177
Phone (386) 326-0575

6500 Crill Ave
Ste 5
Palatka, FL 32177
Phone (386) 326-0575

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1619125259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779230",
            "telephone_number": "386-326-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779230",
            "telephone_number": "386-326-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUARBE ARRILLAGA",
        "first_name": "REBECA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.