Active NPI
Ana C Oquendo, MD
- Legal Medicine
- Saint Petersburg, FL
National Provider Identifier
1619925716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- ME0060595
- Practice address
- 4156 5TH Ave N
Saint Petersburg, FL 33713-6304 - Phone
- (727) 327-2714
- Fax
- (727) 683-9921
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME0060595 | FL | Primary |
Addresses
Primary practice location
4156 5TH Ave N
Saint Petersburg, FL 33713-6304
Mailing address
4156 5TH Ave N
Saint Petersburg, FL 33713-6304
Phone (727) 327-2714
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12945 | Other | FL | BCBS ID NUMBER |
| 0105515 | Other | FL | UNITED HEALTHCARE ID |
| 0433552 | Other | FL | CIGNA ID NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060595 | FL | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1619925716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4156 5TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337136304",
"telephone_number": "727-327-2714",
"fax_number": "727-683-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4156 5TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337136304",
"telephone_number": "727-327-2714",
"fax_number": "727-683-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OQUENDO",
"first_name": "ANA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME0060595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID NUMBER",
"identifier": "12945",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "0105515",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID NUMBER",
"identifier": "0433552",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
- Optimum Home Care of Florida LLC
- Optimum in-Home Aide Agency LLC
- Options Medical Clinical, P.a.
- Optum Behavioral Care of North Carolina, P.C.
- Optumcare Florida LLC
- Juan Luis Oquendo, RPH
- Oral Surgery Centers of America, LLC
- Orion Medical Equipments LLC
- Orion T. Ayer Jr. MD PA
- Orlando Family Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.