Andrelica Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN232 Issued in FL

Legal business name

ANDRELICA INC

Practice address

10616 S Federal Hwy
Port Saint Lucie, FL 34952-6401

Phone

(772) 237-4719

NPI assigned

Jul 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Orly Pena-Sanchez, MDNPI 1447212295

Title

Owner

Phone

(772) 237-4719

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orly Pena-Sanchez, M.D.

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1447212295
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311379200000",
    "number": "1649558701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 S FEDERAL HWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349526401",
            "telephone_number": "772-237-4719",
            "fax_number": "772-237-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 S FEDERAL HWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349526401",
            "telephone_number": "772-237-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRELICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-23",
        "last_updated": "2011-07-23",
        "status": "A",
        "authorized_official_last_name": "PENA-SANCHEZ",
        "authorized_official_first_name": "ORLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-237-4719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000174900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Lemont Anderson Jr.
• Rita Ava Annmarie Anderson, NP
• Vanilla Anderson
• Andi'S Integrated Health Care,LLC
• Bradley Stephenson Andre, DC
• Malik Andrew
• Angel Hands Physical Therapy PLLC
• Teresa Angelino-Prieto, MD
• Angels Adult Plus Services
• Bianca Anghel, SLP

• Family Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.