Individual provider Active NPI

Eliany Celeste Torrez Pon, FNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1639059173
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040886 Issued in FL
Practice address
10967 Lake Underhill Rd
Orlando, FL 32825-4457
Phone
(407) 282-3131
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11040886 FL Primary

Addresses

Primary practice location

10967 Lake Underhill Rd
Orlando, FL 32825-4457

Mailing address

19445 Mardi Gras St
Orlando, FL 32833-3017
Phone (407) 881-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002242 FL Practitioner - Nurse Practitioner 6901393131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19445 Mardi Gras St
Orlando, FL 32833-3017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Practice Care PA CurrentSince Oct 6, 2025 Accepting new patients

Locations

10967 Lake Underhill Rd
Ste 122
Orlando, FL 32825
Phone (407) 282-3131

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1639059173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19445 MARDI GRAS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328333017",
            "telephone_number": "407-881-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254457",
            "telephone_number": "407-282-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREZ PON",
        "first_name": "ELIANY",
        "middle_name": "CELESTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.