Individual provider Active NPI

Madeline Vega Berrios, REGISTER NURSE

  • Administrator Registered Nurse
  • Saint Cloud, FL
National Provider Identifier
1619585288
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
9390051 Issued in FL
Practice address
1714 E Irlo Bronson Memorial Hwy Ste a
Saint Cloud, FL 34771-5836
Phone
(407) 583-4795
Fax
(407) 583-6412
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 9390051 FL Primary

Addresses

Primary practice location

1714 E Irlo Bronson Memorial Hwy Ste a
Saint Cloud, FL 34771-5836

Mailing address

1714 E Irlo Bronson Memorial Hwy Ste a
Saint Cloud, FL 34771-5836
Phone (407) 583-4795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9390051FLMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hispano American Home Care LLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

1714 E Irlo Bronson Memorial Hwy
Ste A
Saint Cloud, FL 34771
Phone (407) 583-4795

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1619585288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 E IRLO BRONSON MEMORIAL HWY STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347715836",
            "telephone_number": "407-583-4795",
            "fax_number": "407-583-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 E IRLO BRONSON MEMORIAL HWY STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347715836",
            "telephone_number": "407-583-4795",
            "fax_number": "407-583-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA BERRIOS",
        "first_name": "MADELINE",
        "credential": "REGISTER NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "9390051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.