Individual provider Active NPI

Adline M Horta Velazquez, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1679654727
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN503 Issued in FL
Practice address
1140 S Semoran Blvd
Suite E
Orlando, FL 32807-1459
Phone
(407) 384-9165
Fax
(407) 384-9174
NPI assigned
Oct 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN503 FL Primary

Addresses

Primary practice location

1140 S Semoran Blvd
Suite E
Orlando, FL 32807-1459

Mailing address

1140 S Semoran Blvd
Suite
Orlando, FL 32807-1459
Phone (407) 384-9165

Other identifiers 1

IdentifierTypeStateIssuer
11679932MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050921000806 PR Practitioner - Emergency MedicinePractitioner - General Practice 0749214567 Reassigns benefits to 1 organization
I20140925001914 FL Practitioner - Family Practice 0749214567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

Practice addresses (Care Compare)

1140 S Semoran Blvd E
PCC of Semoran
Orlando, FL 32807-1459
Phone (407) 384-9165

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Jul 20, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 25, 2012 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 25, 2012 Accepting new patients
Intermed Primary Care Past Accepting new patients
Mediko Red Aliado Corp Past Accepting new patients

Locations

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679654727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD",
            "address_2": "SUITE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-384-9165",
            "fax_number": "407-384-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-384-9165",
            "fax_number": "407-384-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTA VELAZQUEZ",
        "first_name": "ADLINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11679932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.