Roberto Gauddah Menguito, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

947 Town Center Dr
Orange City, FL 32763-8361

Phone

(386) 366-5530

Fax

(855) 936-1288

NPI assigned

Aug 1, 2007

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Frontiermed Allergy and Asthma Center, PLLC

  dba FrontierMed Allergy and Asthma Center

  • Allergy & Immunology Physician
  • Orange City, FL
  • NPI 1255878849
  NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1619167038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIDGEWAY DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638361",
            "telephone_number": "386-366-5530",
            "fax_number": "855-936-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stadium Dr",
            "address_2": "UHA Morgantown",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-598-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGUITO",
        "first_name": "ROBERTO",
        "middle_name": "GAUDDAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": "AS22959041564",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Ezzat Gerges Melek, M.D.
• Victor Wady Melgen, M.D.
• Ivans Melidor, DPT
• Sheryl J Melvin, APRN
• Ashly Yadira Mendoza
• Jennifer Wyle Merens Leake, APRN
• Karl TQ Mersich, MD
• Milagros Mesa, L.M.T.
• Craig Brendan Messer, PHARMD.
• Metcare of Orange City

• Specialist in Orange City, FL
• Providers in Orange City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.