Magda Liliana Pacheco

Primary specialty

DentistTaxonomy code 122300000X

License

0401415938 Issued in VA

Practice address

5848 Strada Capri Way
Orlando, FL 32835-3274

Phone

(201) 336-2948

NPI assigned

May 7, 2018

Last updated

May 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Health Care Center for the Homeless Inc

  dba Orange Blossom Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1235213216
  Medicare reassignment NPD
• Finework Dental

  • Dental Clinic/Center
  • Kissimmee, FL
  • NPI 1659960656
  NPD
• Health Care Center for the Homeless, Inc.

  dba Orange Blossom Family Health

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1952869968
  NPD

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1699264424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 STRADA CAPRI WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353274",
            "telephone_number": "201-336-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 STRADA CAPRI WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353274",
            "telephone_number": "201-336-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MAGDA",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adonys Pacheco Fonte
• Marisely Pacheco Orta, MOTR/L
• Anthony Pacheco, PA
• Carlos R Pacheco, M.D.
• Gloria Ivette Pacheco, APRN
• Nitzela Pacheco
• Rosa M Pacheco, MD
• Yesenia Pacheco
• Yessenia Pacheco
• Pachot Group Home Inc

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.